James D Wiedenhoeft Partnership

NPI #1396180261 in Shiocton, Wisconsin

Provider Information

NPI Number
1396180261
Entity Type
Organization
Organization Name
James D Wiedenhoeft Partnership
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
May 6, 2013
Last Updated
May 6, 2013

Practice Location

Address
N5367 MAYFLOWER RD
ZIP Code
54170-8934
Phone
(920) 986-3003

Authorized Official

Name
MISS ANN DAKE
Title
FOUNDER/CEO
Phone
(920) 986-3003

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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