Organization
WISCONSIN PSYCHIATRIC SERVICES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESS R VOGT MD (PRESIDENT)
(262) 512-9400
Entity
Organization
Contact information
Practice address
1035 W GLEN OAKS LN, SUITE 204, MEQUON, WI 53092-3392
(262) 512-9400
Mailing address
PO BOX 639, CEDARBURG, WI 53012-0639
(262) 512-9400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
08/21/2006
Last updated
09/10/2013
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