Cleanslate Medical Group of Wisconsin, Sc

NPI #1518404854 in Glendale, Wisconsin

Provider Information

NPI Number
1518404854
Entity Type
Organization
Organization Name
Cleanslate Medical Group of Wisconsin, Sc
Primary Specialty
Internal Medicine - Addiction Medicine
Enumeration Date
Jan 25, 2017
Last Updated
Dec 17, 2025

Practice Location

Address
377 W RIVER WOODS PKWY STE 201
ZIP Code
53212-1088
Phone
(413) 323-6880

Authorized Official

Name
MATTHEW PHILIP SMOLAREK
Title
CFO
Phone
(412) 999-5188

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Addiction MedicineAddiction Medicine

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