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Individual

MICHAEL W WILBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC III

Contact information

Practice address
3150 GERSHWIN DRIVE, GREEN BAY, WI 54311-5859
(920) 391-6963
(920) 391-4870
Mailing address
3150 GERSHWIN DRIVE, GREEN BAY, WI 54311-5859
(920) 391-6963
(920) 391-4870

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1735
WI

Other

Enumeration date
02/25/2008
Last updated
11/12/2009
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