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Contact Information

JUDITH KISICKI, MD
BEHAVIORAL MEDICINE CENTER
721 AMERICAN AVENUE SUITE 501
WAUKESHA, WI53188
 Phone: 262-928-2396
 Fax: 262-544-1213
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JUDITH KISICKI · (Female)

NPI Number 1306819925
Status Active
Credentials MD
Entity Individual
Enumeration date 02/13/2006
Last updated 04/09/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 35592
  • WI Medicaid 32060400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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