Individual
MR. GERALD D FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS CADCIII CCSII
Contact information
Practice address
300 COTTONWOOD AVE STE 4, HARTLAND, WI 53029-2043
(262) 896-0905
(262) 781-6603
Mailing address
18705 BROOKRIDGE DR, BROOKFIELD, WI 53045-1029
(262) 896-0905
(262) 781-6603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
811 AND 7059
WI
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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