Planned Parenthood of Wisconsin

NPI #1104090778 in West Bend, Wisconsin

Provider Information

NPI Number
1104090778
Entity Type
Organization
Organization Name
Planned Parenthood of Wisconsin
Subpart
Yes (part of a larger organization)
Parent Organization
PLANNED PARENTHOOD OF WI, INC
Primary Specialty
Clinic/Center - Ambulatory Family Planning Facility
Enumeration Date
Apr 15, 2008
Last Updated
Oct 23, 2015

Practice Location

Address
532 SHEPHERDS DR
ZIP Code
53090-8488
Phone
(262) 338-1303

Authorized Official

Name
SUSAN MARIE ODEGAARD
Title
DIRECTOR, BUS OPERS.
Phone
(414) 289-3796

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site
Clinic/Center - Ambulatory Family Planning FacilityAmbulatory Family Planning Facility

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