Individual
BRIAN J. WIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6644 MONTGOMERY DR, GREENDALE, WI 53129-1331
(414) 840-1955
Mailing address
6644 MONTGOMERY DR, GREENDALE, WI 53129-1331
(414) 840-1955
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7925-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
WI
Enumeration date
09/28/2012
Last updated
09/28/2012
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