institution
Mark B. Smuckler Md Ltd
Adolescent and Children Mental Health Clinic/Center in Milwaukee, Wisconsin
NPI 1528344819

Mark B. Smuckler Md Ltd is an Adolescent and Children Mental Health Clinic/Center based in Milwaukee, WI and is specialized in Adolescent and Children Mental Health. Mark B. Smuckler Md Ltd practices in Milwaukee, WI. The NPI Number for Mark B. Smuckler Md Ltd is 1528344819 and holds a License No. 16139 (Wisconsin).

The current practice location address for Mark B. Smuckler Md Ltd is 155 E Silver Spring Dr, Milwaukee, WI and can be reached out via phone at 414-332-2450 and via fax at 414-332-1390. You can also correspond with Mark B. Smuckler Md Ltd through the mailing address at 155 E SILVER SPRING DR, MILWAUKEE, WI - 53217-4704 (mailing address contact number: 414-332-2450).

Location: 155 E Silver Spring Dr, Milwaukee, WI, 53217-4704
institution
Provider Profile Details
NPI Number
1528344819
Provider Name
Mark B. Smuckler Md Ltd
Credential
Provider Entity Type
Organization
Address
155 E Silver Spring Dr, Milwaukee, WI, 53217-4704
Phone Number
414-332-2450
Fax Number
414-332-1390
Provider Enumeration Date
10/31/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30954800 05 WI
institution
Provider Business Practice Location Address Details
Address
155 E Silver Spring Dr
City
State
Zip
53217-4704
Phone Number
414-332-2450
Fax Number
414-332-1390
person
Provider Business Mailing Address Details
Address
155 E Silver Spring Dr
City
State
Zip
53217-4704
Phone Number
414-332-2450
Fax Number
414-332-1390
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
16139 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
16139 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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