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Psychiatry · MENASHA, WI

Registration Details

NPI Number
1003977836
Provider Type
Individual
Gender
Male
NPI Issued
Dec 13, 2006 (19.353303918272 yrs)
Last Updated
Jan 26, 2012
License
48255-20 (WI)

Practice Information

Address
1095 MIDWAY RD
MENASHA, WI, 549521115
Browse WI providers · Browse ZIP 54952
Phone
9207202300
Fax
9207203806
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in MENASHA, WI

Name Credential NPI
PAUL C BURNEY MD 1982674081
SANDRA GROENEWOLD MD 1881620722
MATTHEW A BAYER 1558438259
JOHN BELD 1144397845
DR. NATHANIEL THOMAS ALBRECHT DO 1467853705
ALLISON M FASSETT MD 1942876008
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.