Bruce W Retzlaff is a Clinical in Oconto, Wisconsin. Bruce W Retzlaff practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bruce W Retzlaff is 1154478634. The last update date is 2011-06-08.
Bruce W Retzlaff's current location address is 501 Park Ave, Oconto, Wisconsin. You can contact this provider via phone number 9208347000 and fax number 9208346889. The mailing address for Bruce W Retzlaff is 501 Park Ave, Oconto, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce W Retzlaff |
|---|---|
| Address | 501 Park Ave, Oconto, Wisconsin |
| Phone Number | 9208347000 |
| Fax Number | 9208346889 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1154478634 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2011-06-08 |
Provider Mailing Address Detail
| Address | 501 Park Ave |
|---|---|
| City | Oconto |
| State | Wisconsin (WI) |
| Post Code | 541531612 |
| Phone Number | 9208347000 |
| Fax Number | 9208346889 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43427200 | WI | -- | |
| 32980400 | WI | -- | |
| 42140300 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bruce W Retzlaff by the Centers for Medicare & Medicaid Services?
The Bruce W Retzlaff has been assigned the NPI (National Provider Identifier) 1154478634. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Bruce W Retzlaff is physically located?
The Bruce W Retzlaff is physically situated at the following address: 501 Park Ave, Oconto, WI, 541531612.
What is Bruce W Retzlaff's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bruce W Retzlaff is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154478634 to Bruce W Retzlaff?
The Centers for Medicare & Medicaid Services assigned the 1154478634 to Bruce W Retzlaff on 2007-01-05.
As of what date was the information pertaining to Bruce W Retzlaff, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bruce W Retzlaff, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-06-08.