institution
Charles Grade Md, Llc
Adult Mental Health Clinic/Center in Wauwatosa, Wisconsin
NPI 1922267483

Charles Grade Md, Llc is an Adult Mental Health Clinic/Center based in Wauwatosa, WI and is specialized in Adult Mental Health. Charles Grade Md, Llc practices in Wauwatosa, WI. The NPI Number for Charles Grade Md, Llc is 1922267483 and holds a License No. 32662 (Wisconsin).

The current practice location address for Charles Grade Md, Llc is 7845 Harwood Ave, Wauwatosa, WI and can be reached out via phone at 414-270-1011 and via fax at 414-270-1031. You can also correspond with Charles Grade Md, Llc through the mailing address at 7845 HARWOOD AVE, WAUWATOSA, WI - 53213-2523 (mailing address contact number: 414-270-1011).

Location: 7845 Harwood Ave, Wauwatosa, WI, 53213-2523
institution
Provider Profile Details
NPI Number
1922267483
Provider Name
Charles Grade Md, Llc
Credential
Provider Entity Type
Organization
Address
7845 Harwood Ave, Wauwatosa, WI, 53213-2523
Phone Number
414-270-1011
Fax Number
414-270-1031
Provider Enumeration Date
06/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31874500 05 WI
institution
Provider Business Practice Location Address Details
Address
7845 Harwood Ave
City
State
Zip
53213-2523
Phone Number
414-270-1011
Fax Number
414-270-1031
person
Provider Business Mailing Address Details
Address
7845 Harwood Ave
City
State
Zip
53213-2523
Phone Number
414-270-1011
Fax Number
414-270-1031
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
32662 (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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