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1011 N 8th St Sheboygan WI 53081-4006 | |
| (920) 459-6400 | |
| (920) 459-4353 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1011 N 8th St, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Thomas Eggebrecht (DIRECTOR) |
| Authorized Official Contact | 9204593213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1011 N 8th St Sheboygan WI 53081-4006 Ph: (920) 459-6400 | 1011 N 8th St Sheboygan WI 53081-4006 Ph: (920) 459-6400 |
| NPI Number | 1508033416 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 07/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508033416 | NPI | - | NPPES |
| 32978100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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