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Susan Powers Md
Adult Mental Health Clinic/Center in Wauwatosa, Wisconsin
NPI 1639394265

Susan Powers Md is an Adult Mental Health Clinic/Center based in Wauwatosa, WI and is specialized in Adult Mental Health. Susan Powers Md practices in Wauwatosa, WI. The NPI Number for Susan Powers Md is 1639394265 and holds a License No. (Wisconsin).

The current practice location address for Susan Powers Md is 10125 W North Ave, Wauwatosa, WI and can be reached out via phone at 414-771-1639 and via fax at 414-536-8605.

Location: 10125 W North Ave, Wauwatosa, WI, 53226-2426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639394265
Provider Name
Susan Powers Md
Credential
Provider Entity Type
Organization
Address
10125 W North Ave, Wauwatosa, WI, 53226-2426
Phone Number
414-771-1639
Fax Number
414-536-8605
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180610 01 WI VALUEOPTIONS PROVIDER
institution
Provider Business Practice Location Address Details
Address
10125 W North Ave
City
Wauwatosa
State
Wisconsin
Zip
53226-2426
Phone Number
414-771-1639
Fax Number
414-536-8605
person
Provider Business Mailing Address Details
Address
10125 W North Ave
City
Wauwatosa
State
Wisconsin
Zip
53226-2426
Phone Number
414-771-1639
Fax Number
414-536-8605
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
(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.
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