Medical Genetics Institute, SC

Organization Ph.D. Medical Genetics · NPI 1437319142

Medical Genetics Institute, SC provides Ph.D. Medical Genetics in Glendale, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in: WI
In the registry since: 2008

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Practice location Address checks out

2311 W Good Hope Rd
Glendale, WI 53209-2735 Not confirmed with CMS for 18 years — call before visiting
Phone: (414) 228-0100
Fax: (414) 228-8774

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ph.D. Medical Genetics (primary)	Taxonomy 170100000X · Licence 21932-020 (WI)

Record details

NPI number	1437319142
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Maria De Elejalde — Vice President · (414) 228-0100
NPI enumerated	June 16, 2008
Last updated in NPPES	June 16, 2008
Mailing address	2311 W Good Hope Rd, Glendale, WI 53209-2735