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Wade Koski Llc
Adolescent and Children Mental Health Clinic/Center in Greenfield, Wisconsin
NPI 1992106595

Wade Koski Llc is an Adolescent and Children Mental Health Clinic/Center based in Greenfield, WI and is specialized in Adolescent and Children Mental Health. Wade Koski Llc practices in Greenfield, WI. The NPI Number for Wade Koski Llc is 1992106595 and holds a License No. (Wisconsin).

The current practice location address for Wade Koski Llc is 4402 S 68Th St, Greenfield, WI and can be reached out via phone at 414-467-2477 and via fax at 414-321-0552.

Location: 4402 S 68Th St, Greenfield, WI, 53220-3479
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992106595
Provider Name
Wade Koski Llc
Credential
Provider Entity Type
Organization
Address
4402 S 68Th St, Greenfield, WI, 53220-3479
Phone Number
414-467-2477
Fax Number
414-321-0552
Provider Enumeration Date
09/15/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40959600 05 WI
institution
Provider Business Practice Location Address Details
Address
4402 S 68Th St
City
Greenfield
State
Wisconsin
Zip
53220-3479
Phone Number
414-467-2477
Fax Number
414-321-0552
person
Provider Business Mailing Address Details
Address
4402 S 68Th St
City
Greenfield
State
Wisconsin
Zip
53220-3479
Phone Number
414-467-2477
Fax Number
414-321-0552
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
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
261QM0855X
License No.
()
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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