Ideal Community Living
Specialty details in registry · Brown Deer, WI
At a glance
3900 W Brown Deer Rd Ste C9, Brown Deer, WI 53209-1220
NPPES record updated Dec 17, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
3900 W Brown Deer Rd Ste C9Brown Deer, WI 53209-1220
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 163WD0400X
- Enumeration date
- Dec 9, 2025
- Record updated
- Dec 17, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
103TA0700X
Specialty details in registry
132700000X
Specialty details in registry
133N00000X
Specialty details in registry
133NN1002X
Specialty details in registry
133VN1004X
Specialty details in registry
133VN1201X
Specialty details in registry
163WD0400X · Primary
Specialty details in registry
171400000X
Specialty details in registry
171R00000X
Specialty details in registry
174200000X
Specialty details in registry
207QB0505X
Specialty details in registry
207QD0401X
Specialty details in registry
251E00000X
Specialty details in registry
311500000X
Specialty details in registry
405300000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
3900 W Brown Deer Rd Ste C9Brown Deer, WI 53209-1220
- Phone
- (262) 469-1053
- Fax
- (855) 853-8249
Mailing address
PO BOX 1111WEST BEND, WI 530958611
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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