CONRAD WYNSTRA

WAUKESHA, WI
NPI1104643675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20673-130)
Enumeration Date2024-09-25
Last Update Date2024-09-25
Business Address
CONRAD WYNSTRA
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
Mailing Address
CONRAD WYNSTRA
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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