Daniel G. Derezinski in Marshfield - Addiction (substance Use Disorder)
Daniel G. Derezinski - NPI 1174629927
Daniel G. Derezinski is a Addiction (substance Use Disorder) in Marshfield, Wisconsin. Daniel G. Derezinski practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Daniel G. Derezinski is 1174629927. The last update date is 2023-12-06.
Daniel G. Derezinski's current location address is 1000 N Oak Ave, Marshfield, Wisconsin. You can contact this provider via phone number 7153875511 and fax number 7153448127. The mailing address for Daniel G. Derezinski is 1000 N Oak Ave, Marshfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel G. Derezinski |
|---|---|
| Address | 1000 N Oak Ave, Marshfield, Wisconsin |
| Phone Number | 7153875511 |
| Fax Number | 7153448127 |
| Sole Proprietor | N |
| Credentials | MS RADCI |
NPI Number Detail
| NPI Number | 1174629927 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2023-12-06 |
Provider Mailing Address Detail
| Address | 1000 N Oak Ave |
|---|---|
| City | Marshfield |
| State | Wisconsin (WI) |
| Post Code | 544495703 |
| Phone Number | 7153875511 |
| Fax Number | 7153448127 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 13414 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13414 | WI | RADC I |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Daniel G. Derezinski by the Centers for Medicare & Medicaid Services?
The Daniel G. Derezinski has been issued the NPI (National Provider Identifier) 1174629927 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Daniel G. Derezinski?
The Daniel G. Derezinski is situated at 1000 N Oak Ave, in the city of Marshfield, state of WI, with the zip code 544495703.
What is the Daniel G. Derezinski's specialty and taxonomy code?
The Daniel G. Derezinski's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
When did the Daniel G. Derezinski receive its 1174629927?
The Daniel G. Derezinski was issued its 1174629927 on 2006-09-16, which is the date when the organization was assigned this unique identifier.
When was the Daniel G. Derezinski's information last updated?
The Daniel G. Derezinski's information was last updated on 2023-12-06.