MICHAEL TETKOSKI

MEQUON, WI
NPI1316994676
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: WI  1098-057)
Enumeration Date2006-05-30
Last Update Date2007-07-08
Business Address
MICHAEL TETKOSKI PHD
1312 W TOWNE SQUARE RD
MEQUON, WI 53092-5046
Phone number: 262-241-5099
Mailing Address
MICHAEL TETKOSKI PHD
1312 W TOWNE SQUARE RD
MEQUON, WI 53092-5046
Phone number: 262-241-5099