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Gerald L. Ignace Indian Health Center, Inc.
Clinic/Center in Milwaukee, Wisconsin
NPI 1023064086

Gerald L. Ignace Indian Health Center, Inc. is a Clinic/Center based in Milwaukee, WI. Gerald L. Ignace Indian Health Center, Inc. practices in Milwaukee, WI. The NPI Number for Gerald L. Ignace Indian Health Center, Inc. is 1023064086 and holds a License No. (Wisconsin).

The current practice location address for Gerald L. Ignace Indian Health Center, Inc. is 930 W Historic Mitchell St, Milwaukee, WI and can be reached out via phone at 414-383-9526 and via fax at 414-649-6711. You can also correspond with Gerald L. Ignace Indian Health Center, Inc. through the mailing address at 1711 SOUTH 11TH STREET, MILWAUKEE, WI - 53204-3310 (mailing address contact number: 414-383-9526).

Location: 930 W Historic Mitchell St, Milwaukee, WI, 53204-3310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023064086
Provider Name
Gerald L. Ignace Indian Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
930 W Historic Mitchell St, Milwaukee, WI, 53204-3310
Phone Number
414-383-9526
Fax Number
414-649-6711
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
093488131 01 WI CHAMPUS
32957100 05 WI
institution
Provider Business Practice Location Address Details
Address
930 W Historic Mitchell St
City
Milwaukee
State
Wisconsin
Zip
53204-3533
Phone Number
414-383-9526
Fax Number
414-649-6711
person
Provider Business Mailing Address Details
Address
1711 South 11Th Street
City
Milwaukee
State
Wisconsin
Zip
53204-3310
Phone Number
414-383-9526
Fax Number
414-389-3881
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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