Individual
MICHAEL L WRZESINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4109 67TH STREET, KENOSHA, WI 53142
(262) 652-9830
Mailing address
4109 67TH STREET, KENOSHA, WI 53142-3836
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18188130
WI
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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