| Riverside Psychiatric Group Sc | |
|
1325 Angels Path Rd De Pere WI 54115-4050 | |
| (920) 338-2855 | |
| (920) 338-9270 |
| Full Name | Riverside Psychiatric Group Sc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1325 Angels Path Rd, De Pere, Wisconsin |
| Authorized Official Name and Position | Howard W Davis (PRESIDENT) |
| Authorized Official Contact | 9203382800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Psychiatric Group Sc 1325 Angels Path Rd De Pere WI 54115-4050 Ph: (920) 338-2855 | Riverside Psychiatric Group Sc 1325 Angels Path Rd De Pere WI 54115-4050 Ph: (920) 338-2855 |
| NPI Number | 1154520203 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 01/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154520203 | NPI | - | NPPES |
| 32884100 | Medicaid | WI |
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