OrganizationActive
Vintage View Farm Inc
NPI 1841694650 · Preferred Provider Organization · Mequon, WI
Provider details
- NPI number
- 1841694650
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Adam Wallow, Managing Principal(262) 242-1110
Specialties & taxonomies
Managed Care Organizations
- Specialist174400000X
Other Service Providers
Practice location
7230 W Highland Rd
Mequon, WI 53092-1002
Phone: (262) 242-1110
Fax: (262) 236-9589
Approximate (ZIP-level) locationGet directions
Mailing address
7230 W Highland Rd
Mequon, WI 53092-1002
Other names (DBA / former)
- Doing business as
- Vintage View Therapy
Registry dates
- Enumerated
- 2014-10-22
- Last updated
- 2015-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.