Individual
DR. ALLA Y LIKHTEREV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
WINNEBAGO MENTAL HEALTH INSTITUTE 1300 SOUTH DRIVE, WINNEBAGO, WI 54985-0009
(920) 235-4910
(920) 236-2931
Mailing address
WINNEBAGO MENTAL HEALTH INSTITUTE1300 SOUTH DRIVE, 1300 SOUTH DRIVE, WINNEBAGO, WI 54985-0009
(920) 235-4910
(920) 236-2931
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37144
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32282700
—
WI
01
—
37144
LICENSE NUMBER
WI
Enumeration date
12/12/2006
Last updated
03/07/2023
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