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Individual

MR. MICHAEL JOHN RUPSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2500 N MAYFAIR RD, #630, WAUWATOSA, WI 53226
(414) 257-2124
(414) 454-6677
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3107-123
WI
1041C0700X
Clinical Social Worker
403-125
WI

Other

Enumeration date
08/24/2006
Last updated
07/08/2007
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