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Gregory Cowan Llc
Adult Mental Health Clinic/Center in Weston, Wisconsin
NPI 1538453584

Gregory Cowan Llc is an Adult Mental Health Clinic/Center based in Wausau, WI and is specialized in Adult Mental Health. Gregory Cowan Llc practices in Weston, WI. The NPI Number for Gregory Cowan Llc is 1538453584 and holds a License No. 2343-57 (Wisconsin).

The current practice location address for Gregory Cowan Llc is 3301 Cranberry Blvd, Weston, WI and can be reached out via phone at 715-393-3953.

Location: 3301 Cranberry Blvd, Weston, WI, 54403-2362
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538453584
Provider Name
Gregory Cowan Llc
Credential
Provider Entity Type
Organization
Address
3301 Cranberry Blvd, Weston, WI, 54403-2362
Phone Number
715-393-3953
Fax Number
Provider Enumeration Date
06/07/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3301 Cranberry Blvd
City
Weston
State
Wisconsin
Zip
54476-5216
Phone Number
715-393-3953
Fax Number
person
Provider Business Mailing Address Details
Address
3301 Cranberry Blvd
City
Weston
State
Wisconsin
Zip
54476-5216
Phone Number
715-393-3953
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
2343-57 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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