Organization
WAUKESHA HEALTH SYSTEM, INC.
Active
Other names
Behavioral Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK L SYRJANEN (EXECUTIVE DIRECTOR)
(252) 928-2382
Entity
Organization
Contact information
Practice address
721 AMERICAN AVE, SUITE 501, WAUKESHA, WI 53188-5071
(262) 928-2396
(262) 544-1213
Mailing address
721 AMERICAN AVE, SUITE 501, WAUKESHA, WI 53188-5071
(262) 928-2396
(262) 544-1213
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1976
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42125500
—
WV
Enumeration date
08/17/2006
Last updated
12/14/2022
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