Medi Weight Loss Depere

LBN: Cmwl
Medi Weight Loss Depere is an health care organization with primary practice located at 801 Main Ave , De Pere WI 54115-1334. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obesity Medicine, which is considered as the primary health care specialty. Cmwl can be contacted via phone (920) 330-9033, or through Coussons, Herbert S via phone (920) 338-6868.

Contact Information

Primary practice address
801 Main Ave De Pere WI 54115-1334
Phone: (920) 330-9033
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coussons, Herbert S Doctor of Medicine (MD)
Phone: (920) 338-6868

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207VB0002X 43795 Wisconsin

Profile Details

NPI number 1770957813
LBN Legal business name Cmwl
DBA Doing business as Medi Weight Loss Depere
Authorized official Coussons, Herbert S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2015
Last updated Nov 29th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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