Individual
MR. WAYNE L MEHRINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC, ICS
Contact information
Practice address
1545 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
(414) 218-8329
Mailing address
614 N 94TH ST, MILWAUKEE, WI 53226-4434
(414) 258-6834
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1644-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39366000
—
WI
Enumeration date
06/26/2007
Last updated
07/09/2007
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