Individual
RAYMOND KLOSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
721 AMERICAN AVE, BEHAVIORAL MEDICINE CENTER, SUITE 501, WAUKESHA, WI 53188-5071
(262) 928-2396
(262) 544-1213
Mailing address
N17W24100 RIVERWOOD DR, WAUKESHA HEALTH CARE INC, WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33519
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31838900
—
WI
Enumeration date
02/17/2006
Last updated
07/08/2007
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