Northshore Clinic & Consultants, Inc.

NPI #1720201163 in Cedarburg, Wisconsin

Provider Information

NPI Number
1720201163
Entity Type
Organization
Organization Name
Northshore Clinic & Consultants, Inc.
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 11, 2007
Last Updated
Apr 19, 2011

Practice Location

Address
W62N248 WASHINGTON AVE
Address 2
SUITE #207
ZIP Code
53012-2768
Phone
(262) 375-1116

Authorized Official

Name
THERESE A JAECKLE, APNP
Title
CLINICAL DIRECTOR
Phone
(262) 375-1116

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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