Cmwl2

NPI #1255796991 in Appleton, Wisconsin

Provider Information

NPI Number: 1255796991
Entity Type: Organization
Organization Name: Cmwl2
Primary Specialty: Obstetrics & Gynecology - Obesity Medicine
Enumeration Date: Dec 23, 2015
Last Updated: Dec 23, 2015

Practice Location

Address: 1688 N CASALOMA DR
City: Appleton
State: Wisconsin
ZIP Code: 54913-8245
Phone: (920) 707-5100

Authorized Official

Name: DR. HERBERT S COUSSONS, MD
Title: OWNER
Phone: (920) 338-6868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology - Obesity Medicine — Obesity Medicine	207VB0002X	Primary

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