Individual
BRUCE WINKKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
1701 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 498-8600
Mailing address
725 ELIZA ST, GREEN BAY, WI 54301-3230
(920) 498-8600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39380500
—
WI
Enumeration date
04/04/2008
Last updated
04/04/2008
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