Provider Demographics
NPI:1427184357
Name:CITY OF WAUWATOSA
Entity type:Organization
Organization Name:CITY OF WAUWATOSA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:KREUSER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:414-479-8936
Mailing Address - Street 1:7725 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53213-1720
Mailing Address - Country:US
Mailing Address - Phone:414-479-8936
Mailing Address - Fax:414-471-8483
Practice Address - Street 1:7725 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53213-1720
Practice Address - Country:US
Practice Address - Phone:414-479-8936
Practice Address - Fax:414-471-8483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare