| Coulee Region Psychiatric Services, S.c. | |
|
3626 East Ave. So. Suite 2a La Crosse WI 54601-7211 | |
| (608) 788-1114 | |
| (608) 788-1147 |
| Full Name | Coulee Region Psychiatric Services, S.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3626 East Ave. So., La Crosse, Wisconsin |
| Authorized Official Name and Position | Thomas J. Trannel (PRESIDENT) |
| Authorized Official Contact | 6087976284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coulee Region Psychiatric Services, S.c. 1309 3rd Ave. N. Onalaska WI 54650-9130 Ph: (608) 797-6284 | Coulee Region Psychiatric Services, S.c. 3626 East Ave. So. Suite 2a La Crosse WI 54601-7211 Ph: (608) 788-1114 |
| NPI Number | 1881828846 |
|---|---|
| Provider Enumeration Date | 05/06/2009 |
| Last Update Date | 05/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881828846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 37852-020 (Wisconsin) | Primary |
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