Doctor Name: | DR. ANDREW JAY KESSLER |
NPI Number: | 1164736021 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 27249-020 |
Business Practice Address: | 1west Lincoln Avenue Waupun, WI - 53595 |
Business Phone Number: | 9203245577 |
Business Fax Number: | |
Mailing Address: | 37 S Eau Claire Ave, MADISON |
State: | WI |
Postal Code: | 537054769 |
Phone Number: | 6082316949 |
Fax Number: | 6082316949 |
NPI Enumeration Date: | 08/03/2010 |
NPI Last Update Date: | 06/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | 27249-020 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |