Individual
DOUGLAS BISBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1478 KENWOOD CTR, SUITE 1, MENASHA, WI 54952-1161
(920) 886-9319
Mailing address
1592 WORTH AVE, NEENAH, WI 54956-5041
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1151-226
WI
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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