Craig Alan Bruesewitz, CLINICAL SUBSTANCE is a
Counselor - Addiction (substance Use Disorder) based in Kewashum, Wisconsin. Craig Alan Bruesewitz is licensed to practice in Wisconsin (license number DHS 75.14 #2598) and his current practice location is
1421 Fond Du Lac Avenue, Kewashum, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 626-4166.
NPI number for Craig Alan Bruesewitz is 1902076698 and his current mailing address is 1421 Fond Du Lac Avenue, Kewashum, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902076698.
Healthcare Provider's Profile
| Full Name | Craig Alan Bruesewitz |
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| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 1421 Fond Du Lac Avenue, Kewashum, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902076698
- Provider Enumeration Date: 03/10/2008
- Last Update Date: 03/26/2014
Medical Identifiers
Medical identifiers for Craig Alan Bruesewitz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902076698 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 2091132 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | DHS 75.14 #2598 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Craig Alan Bruesewitz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Craig Alan Bruesewitz, CLINICAL SUBSTANCE
1421 Fond Du Lac Avenue,
Kewashum, WI 53040
Ph: (262) 626-4166 | Craig Alan Bruesewitz, CLINICAL SUBSTANCE
1421 Fond Du Lac Avenue,
Kewashum, WI 53040
Ph: (262) 626-4166 |
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