| Whole Health Clinical Group | |
|
2020 W Wells St Milwaukee WI 53233-2720 | |
| (414) 476-9675 | |
| (414) 755-1834 |
| Full Name | Whole Health Clinical Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2020 W Wells St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Ann Martinek (CONTROLLER) |
| Authorized Official Contact | 4149372108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Health Clinical Group 2020 W Wells St Milwaukee WI 53233-2720 Ph: (414) 476-9675 | Whole Health Clinical Group 2020 W Wells St Milwaukee WI 53233-2720 Ph: (414) 476-9675 |
| NPI Number | 1033302229 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 01/03/2023 |
| Certification Date | 01/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033302229 | NPI | - | NPPES |
| 43426400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2125 (Wisconsin) | Primary |
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