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Individual

JOHN S SCHULZE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
CADC III

Contact information

Practice address
1022 DIVISION STREET, LACROSSE, WI 54601
(608) 782-7700
(608) 791-9431
Mailing address
700 WEST AVENUE SOUTH, ATTN PHYSICIAN SERVICES, LACROSSE, WI 54601
(608) 791-4156
(608) 791-9898

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2103
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39378100
WI
Enumeration date
06/08/2006
Last updated
07/08/2007
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