Ams of Wisconsin, LLC

NPI #1003150004 in Onalaska, Wisconsin

Provider Information

NPI Number
1003150004
Entity Type
Organization
Organization Name
Ams of Wisconsin, LLC
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Nov 15, 2012
Last Updated
Sep 24, 2021

Practice Location

Address
9532 E 16 FRONTAGE RD
Address 2
SUITE 100
ZIP Code
54650-6739
Phone
(608) 783-0506

Authorized Official

Name
MR. MICHAEL ERRICO, MS
Title
PRESIDENT
Phone
(608) 783-0506

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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