Individual
THOMAS MITTELSTEADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC
Contact information
Practice address
500 S OAKWOOD RD STE 102, OSHKOSH, WI 54904-7944
(920) 223-8570
(920) 223-8591
Mailing address
500 S OAKWOOD RD STE 102, OSHKOSH, WI 54904-7944
(920) 223-8570
(920) 223-8591
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16290-131
WI
Other
Enumeration date
03/19/2019
Last updated
06/11/2019
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