Wisconsin Eating Disorder Specialists Sc
NPI #1801807375 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1801807375
- Entity Type
- Organization
- Organization Name
- Wisconsin Eating Disorder Specialists Sc
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Aug 10, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 34700 VALLEY RD
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-4500
- Phone
- (262) 646-1387
Authorized Official
- Name
- THEODORE WELTZIN, MD
- Title
- OWNER
- Phone
- (262) 646-4411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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