Cleanslate Medical Group of Wisconsin, SC
Cleanslate Medical Group of Wisconsin, SC is an Addiction Medicine (Internal Medicine) Physician in Glendale, Wisconsin. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
377 W River Woods Pkwy Ste 201Glendale, WI 53212-1088
Phone: (413) 323-6880
Fax: (833) 279-7074
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Specialties & licences
| Addiction Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RA0401X |
|---|
Record details
| NPI number | 1518404854 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Smolarek — Cfo · (412) 999-5188 |
| NPI enumerated | January 25, 2017 |
| Last updated in NPPES | December 17, 2025 |
| Certification date | December 17, 2025 |
| Mailing address | 8 Cadillac Dr Ste 300, Brentwood, TN 37027-5337 |
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