Individual
MR. MICHAEL ADAM STASZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
4550 W BRADLEY RD, BROWN DEER, WI 53223-3713
(414) 371-1600
(414) 371-2400
Mailing address
4300 S 60TH ST APT 206, GREENFIELD, WI 53220-3185
(414) 366-7772
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18712-130
WI
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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