Organization
CARY J KOHLENBERG MD SC
Active
Other names
Independent Psychiatric Consultants Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CARY J KOHLENBERG MD (OWNER)
(262) 513-0700
Entity
Organization
Contact information
Practice address
2717 N GRANDVIEW BLVD STE 102, WAUKESHA, WI 53188-1672
(262) 513-0700
(262) 513-0707
Mailing address
2717 N GRANDVIEW BLVD STE 102, WAUKESHA, WI 53188-1672
(262) 513-0700
(262) 513-0707
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21300600
—
WI
Enumeration date
10/27/2006
Last updated
10/30/2024
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