| NPI | 1629292651 |
|---|---|
| Other Name | WAUKESHA COUNTY (MHC INPATIENT DR) |
| Entity Type | Organization |
| Authorized Contact | DAVID M DEROSIER Credentialing Specialist 262-548-8431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 907) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 907) |
| 174400000X Specialist (Licence: WI 907) | |
| 207L00000X Anesthesiology (Licence: WI 907) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 907) | |
| 207Q00000X Family Medicine (Licence: WI 907) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-09-27 |