| Great Lakes Clinic And Consultants, Llc | |
|
1407 North 8th Street Suite 203 Sheboygan WI 53081 | |
| (920) 415-0505 | |
| Not Available |
| Full Name | Great Lakes Clinic And Consultants, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1407 North 8th Street, Sheboygan, Wisconsin |
| Authorized Official Name and Position | David Dich (OWNER) |
| Authorized Official Contact | 9204150505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Clinic And Consultants, Llc 1407 North 8th Street Suite 203 Sheboygan WI 53081 Ph: (920) 415-0505 | Great Lakes Clinic And Consultants, Llc 1407 North 8th Street Suite 203 Sheboygan WI 53081 Ph: (920) 415-0505 |
| NPI Number | 1780159004 |
|---|---|
| Provider Enumeration Date | 10/13/2018 |
| Last Update Date | 10/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780159004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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