State of Wisconsin
NPI #1164516506 in Winnebago, Wisconsin
Provider Information
- NPI Number
- 1164516506
- Entity Type
- Organization
- Organization Name
- State of Wisconsin
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Feb 15, 2008
Practice Location
Authorized Official
- Name
- ROBERT G KNEEPKENS
- Title
- DIRECTOR
- Phone
- (920) 235-4910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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