NPI 1831316371

Waukesha County

Organisation Case Management Agency Waukesha, WI

Practice location

Address: 514 Riverview Ave, Waukesha, WI 53188-3632
Phone: (262) 548-8430
Fax: (262) 970-6696
Mailing address: 514 Riverview Ave, Waukesha, WI 53188-3631

Authorised official

Name: David M Derosier
Title: Credentialing Specialist
Phone: (262) 896-8431

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 44003200 (WI)

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Registry record

NPI: 1831316371
Entity type: Organization
NPI issued: 19 Apr 2007
Record last updated: 10 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.