| Mr Bruce W Retzlaff, MSW | |
|
501 Park Ave, Oconto, WI 54153-1612 | |
| (920) 834-7000 | |
| (920) 834-6889 |
| Full Name | Mr Bruce W Retzlaff |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 501 Park Ave, Oconto, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154478634 | NPI | - | NPPES |
| 43427200 | Medicaid | WI | |
| 32980400 | Medicaid | WI | |
| 42140300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bruce W Retzlaff, MSW 501 Park Ave, Oconto, WI 54153-1612 Ph: (920) 834-7000 | Mr Bruce W Retzlaff, MSW 501 Park Ave, Oconto, WI 54153-1612 Ph: (920) 834-7000 |
Michael Reimer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Park Ave, Oconto, WI 54153 Phone: 920-834-7000 | |
Ms. Dawn M Pabich, MSE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Park Ave, Oconto, WI 54153 Phone: 920-834-7000 Fax: 920-834-6889 |