Individual
MIKOLAJ SZYPICYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
261 3RD ST, REEDSBURG, WI 53959-1621
(773) 297-4222
Mailing address
261 3RD ST, REEDSBURG, WI 53959-1621
(773) 297-4222
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
0014851
WI
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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