Organization
PSYCHIATRIC SERVICES OF RACINE, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J BJERREGAARD MD (PARTNER)
(262) 635-5520
Entity
Organization
Contact information
Practice address
8700 DURAND AVE STE 600, STURTEVANT, WI 53177-2096
(262) 635-5520
(262) 635-5530
Mailing address
8700 DURAND AVE STE 600, STURTEVANT, WI 53177-2096
(262) 635-5520
(262) 635-5530
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
1757
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42166000
—
WI
Enumeration date
07/14/2006
Last updated
03/27/2018
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