MILWAUKEE VA CLINIC (4092)    INSTITUTION (4)

Name Value
NAME MILWAUKEE VA CLINIC
STATE WISCONSIN
STREET ADDR. 1 1818 N. MARTIN LUTHER KING DR
CITY MILWAUKEE
ZIP 53212-3640
OFFICIAL VA NAME MILWAUKEE VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME MILWAUKEE VA CLINIC
EFFECTIVE DATE/TIME
  • 2015-07-15 00:00:00
    STATUS:   ACTIVE
    NPI:   1285005504
TAXONOMY CODE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
STATION NUMBER 695QA