| Wisconsin Psychiatric Services, Ltd | |
|
1035 W Glen Oaks Ln Suite 204 Mequon WI 53092-3392 | |
| (262) 512-9400 | |
| Not Available |
| Full Name | Wisconsin Psychiatric Services, Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1035 W Glen Oaks Ln, Mequon, Wisconsin |
| Authorized Official Name and Position | Wess R Vogt (PRESIDENT) |
| Authorized Official Contact | 2625129400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Psychiatric Services, Ltd Po Box 639 Cedarburg WI 53012-0639 Ph: (262) 512-9400 | Wisconsin Psychiatric Services, Ltd 1035 W Glen Oaks Ln Suite 204 Mequon WI 53092-3392 Ph: (262) 512-9400 |
| NPI Number | 1245346733 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 09/10/2013 |
| Medicare PECOS PAC ID | 8527226463 |
|---|---|
| Medicare Enrollment ID | O20120222001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245346733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Wess R Vogt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023124708 PECOS PAC ID: 0143110783 Enrollment ID: I20040317001474 |
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