Doctor Name: | MICHAEL A WEISER |
NPI Number: | 1124150818 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | 1435123 |
Business Practice Address: | 233 E La Salle Avenue Barron, WI - 54812 |
Business Phone Number: | 7158325454 |
Business Fax Number: | 7158322991 |
Mailing Address: | 2005 Highland Ave, EAU CLAIRE |
State: | WI |
Postal Code: | 547014455 |
Phone Number: | 7158325454 |
Fax Number: | 7158322991 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 05/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1435123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |