MICHAEL RICHARD GISSIBL

WAUKESHA, WI
NPI1134650302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-03-21
Last Update Date2017-03-21
Business Address
-- MICHAEL RICHARD GISSIBL SAC-IT
2607 N GRANDVIEW BLVD SUITE 110
WAUKESHA, WI 53188-1686
Phone number: 262-313-8339
Mailing Address
-- MICHAEL RICHARD GISSIBL SAC-IT
2607 N GRANDVIEW BLVD SUITE 110
WAUKESHA, WI 53188-1686
Phone number: 414-841-9165
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