Mr David F Wiltzius, LPC | |
196 3rd St, Fond Du Lac, WI 54935-4418 | |
(920) 921-3343 | |
(920) 921-0989 |
Full Name | Mr David F Wiltzius |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 196 3rd St, Fond Du Lac, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811101421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 780-125 (Wisconsin) | Primary |
Entity Name | Sa Limberg Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649725888 PECOS PAC ID: 3476832338 Enrollment ID: O20161116002142 |
Mailing Address | Practice Location Address |
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Mr David F Wiltzius, LPC 196 3rd St, Fond Du Lac, WI 54935-4418 Ph: (920) 921-3343 | Mr David F Wiltzius, LPC 196 3rd St, Fond Du Lac, WI 54935-4418 Ph: (920) 921-3343 |
Claire Elizabeth Krizman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 310-880-8864 | |
Jenna R Pieper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500 Fax: 920-929-3129 | |
Amanda Rentmeester, Counselor Medicare: Not Enrolled in Medicare Practice Location: W6986 Newton Rd, Fond Du Lac, WI 54937 Phone: 414-416-7368 | |
Sandra M Schug, MS, LPC-IT, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500 | |
Tania Rhoads, CISW, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Forest Ave, Suite 116, Fond Du Lac, WI 54935 Phone: 920-907-0813 Fax: 920-907-0826 | |
Kaitlyn Kenealy, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 S Main St Ste M05, Fond Du Lac, WI 54935 Phone: 920-659-5414 | |
Lynn Marie Genz, LPC Counselor Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8933 |