Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Procedures Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
700 PILGRIM PKWY SUITE 201
ELM GROVE, WI 53122-2063 US
Accepts Medicare Payment

PECOS Enrolled

Russell Wieston Brethauer

Clinical Psychologist

Russell Wieston Brethauer

Overview

Russell Wieston Brethauer is a Clinical Psychologist in the ELM GROVE area and has over 44 years of experience. Russell Wieston Brethauer primary office location is at 700 PILGRIM PKWY and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1981 The NPI number is 1023062528 and the information was updated approximately 18 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
700 PILGRIM PKWY SUITE 201
ELM GROVE, WI 53122-2063 US
Phone: (262)-785-5557
Fax:
Practice Mailing Information
700 PILGRIM PKWY
ELM GROVE, WI 53122-2063 US
Phone: (262)-785-5557
Fax: (262)-785-5586
License NumberState
185WI
983WI

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