institution
Cleanslate Medical Group Of Wisconsin, Sc
Addiction Medicine (Internal Medicine) Physician in Glendale, Wisconsin
NPI 1518404854

Cleanslate Medical Group Of Wisconsin, Sc is an Addiction Medicine (Internal Medicine) Physician based in Brentwood, WI and is specialized in Addiction Medicine. Cleanslate Medical Group Of Wisconsin, Sc practices in Glendale, WI. The NPI Number for Cleanslate Medical Group Of Wisconsin, Sc is 1518404854 and holds a License No. (Wisconsin).

The current practice location address for Cleanslate Medical Group Of Wisconsin, Sc is 377 W River Woods Pkwy Ste 201, Glendale, WI and can be reached out via phone at 413-323-6880.

Location: 377 W River Woods Pkwy Ste 201, Glendale, WI, 37027-5393
institution
Provider Profile Details
NPI Number
1518404854
Provider Name
Cleanslate Medical Group Of Wisconsin, Sc
Credential
Provider Entity Type
Organization
Address
377 W River Woods Pkwy Ste 201, Glendale, WI, 37027-5393
Phone Number
413-323-6880
Fax Number
Provider Enumeration Date
01/25/2017
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
377 W River Woods Pkwy Ste 201
City
State
Zip
53212-1088
Phone Number
413-323-6880
Fax Number
person
Provider Business Mailing Address Details
Address
377 W River Woods Pkwy Ste 201
City
State
Zip
53212-1088
Phone Number
413-323-6880
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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