| Wiebusch & Nicholson Center For Autism, Inc. | |
|
N27w23953 Paul Rd Ste. 206 Pewaukee WI 53072-6242 | |
| (262) 347-0701 | |
| (262) 347-0705 |
| Full Name | Wiebusch & Nicholson Center For Autism, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | N27w23953 Paul Rd, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Christopher Paul Wiebusch (PRESIDENT) |
| Authorized Official Contact | 2623470701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wiebusch & Nicholson Center For Autism, Inc. N27w23953 Paul Rd Ste. 206 Pewaukee WI 53072-6242 Ph: (262) 347-0701 | Wiebusch & Nicholson Center For Autism, Inc. N27w23953 Paul Rd Ste. 206 Pewaukee WI 53072-6242 Ph: (262) 347-0701 |
| NPI Number | 1407073505 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407073505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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