Search › Wisconsin › 101YP2500X
David Wiltzius, LPC
NPI 1811101421 · on the registry since 2007
Practice
- Address
- 196 3rd St
Fond Du Lac, WI 54935 - Phone
- (920) 921-3343
- Fax
- (920) 921-0989
- Organisation at this address
- Optum Behavioral Care Of Colorado, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin