Organization
WAUKESHA COUNTY
Active
Other names
Waukesha County (MHC Inpatient Dr)
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M DEROSIER (CREDENTIALING SPECIALIST)
(262) 548-8431
Entity
Organization
Contact information
Practice address
1501 AIRPORT RD, WAUKESHA, WI 53188-3632
(262) 548-7950
(262) 970-4791
Mailing address
514 RIVERVIEW AVE, ATTN: FISCAL DEPARTMENT, WAUKESHA, WI 53188-3632
(262) 548-7399
(262) 970-6696
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
907
WI
174400000X
Specialist
907
WI
207L00000X
Anesthesiology Physician
907
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
907
WI
207Q00000X
Family Medicine Physician
907
WI
2084P0800X
Psychiatry Physician
Primary
907
WI
Other
Enumeration date
04/12/2007
Last updated
11/10/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us