Provider Demographics
NPI:1669518916
Name:REPRODUCTIVE SPECIALTY CENTER
Entity type:Organization
Organization Name:REPRODUCTIVE SPECIALTY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMELING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-289-9668
Mailing Address - Street 1:2015 E NEWPORT AVE
Mailing Address - Street 2:SUITE 707
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53211-2984
Mailing Address - Country:US
Mailing Address - Phone:414-289-9668
Mailing Address - Fax:414-289-0974
Practice Address - Street 1:2315 N LAKE DR
Practice Address - Street 2:SUITE 501
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-4518
Practice Address - Country:US
Practice Address - Phone:414-289-9668
Practice Address - Fax:414-289-0974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty