THOMAS MITTELSTEADT

OSHKOSH, WI
NPI1073072906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16290-131)
Enumeration Date2019-03-19
Last Update Date2019-06-11
Business Address
THOMAS MITTELSTEADT SAC
500 S OAKWOOD RD STE 102
OSHKOSH, WI 54904-7944
Phone number: 920-223-8570
Mailing Address
THOMAS MITTELSTEADT SAC
500 S OAKWOOD RD STE 102
OSHKOSH, WI 54904-7944
Phone number: 920-223-8570