Doctor Name: | MICHAEL REIMER |
NPI Number: | 1245602424 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 3201 |
Business Practice Address: | 501 Park Ave Oconto, WI - 541531612 |
Business Phone Number: | 9208347000 |
Business Fax Number: | |
Mailing Address: | 501 Park Ave, OCONTO |
State: | WI |
Postal Code: | 541531612 |
Phone Number: | 9208347000 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2015 |
NPI Last Update Date: | 10/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3201 |
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 |