Individual
DR. CHUCK MESECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3800 N MAYFAIR RD, WAUWATOSA, WI 53222-2200
(414) 536-8333
(414) 536-8348
Mailing address
3800 N MAYFAIR RD, WAUWATOSA, WI 53222-2200
(414) 536-8333
(414) 536-8348
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3102125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40938200
—
WI
Enumeration date
10/31/2006
Last updated
07/08/2007
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