Individual ProviderVictor SudoSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5000 W National Ave, Milwaukee, WI 53295-5153(414) 384-2000PECOS EnrollmentBased on the most recent information from CMS, provider Victor Sudo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1194730051Provider TypeIndividualFull NameSudo, VictorCredentialLISWGenderMaleSole ProprietorYesEnumeration Date7/29/2006Last Updated7/6/2012Contact InformationPractice LocationPractice Address5000 W National Ave, Milwaukee, WI 53295-5153Phone(414) 384-2000FaxUnlisted FaxMailing LocationMailing Address17117 W National Ave, New Berlin, WI 53151-6581Phone(414) 384-2000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense3728Hawaii