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1801807375
WISCONSIN EATING DISORDER SPECIALISTS SC
OCONOMOWOC, WI
NPI
1801807375
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Entity Type
Organization
Authorized Contact
THEODORE WELTZIN
Owner
262-646-4411
Organization Subpart ?
No
Primary Taxonomy
283Q00000X Psychiatric Hospital
Enumeration Date
2006-08-10
Last Update Date
2020-08-22
Business Address
WISCONSIN EATING DISORDER SPECIALISTS SC
34700 VALLEY RD
OCONOMOWOC, WI 53066-4500
Phone number: 262-646-1387
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Mailing Address
WISCONSIN EATING DISORDER SPECIALISTS SC
3630 N HICKORY LN
OCONOMOWOC, WI 53066-4532
Phone number: 262-646-1387
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