OrganizationActive
Medical Genetics Institute, S.c.
NPI 1437319142 · Ph.D. Medical Genetics · Glendale, WI
Provider details
- NPI number
- 1437319142
- Entity type
- Organization
- Primary specialty
- Ph.D. Medical GeneticsOther Service Providers
- Organization subpart
- No
- Authorized official
- Maria De Elejalde, Vice President(414) 228-0100
- License
- 21932-020 (WI)
Specialties & taxonomies
Other Service Providers
Practice location
2311 W Good Hope Rd
Glendale, WI 53209-2735
Phone: (414) 228-0100
Fax: (414) 228-8774
Approximate (ZIP-level) locationGet directions
Mailing address
2311 W Good Hope Rd
Glendale, WI 53209-2735
Registry dates
- Enumerated
- 2008-06-16
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.