OrganizationActive
Cmwl2
NPI 1255796991 · Obesity Medicine (Obstetrics & Gynecology) Physician · Appleton, WI
Provider details
- NPI number
- 1255796991
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Herbert Coussons, Owner(920) 338-6868
- License
- 43795 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1688 N Casaloma Dr
Appleton, WI 54913-8245
Phone: (920) 707-5100
Approximate (ZIP-level) locationGet directions
Mailing address
2641 Development Dr
Green Bay, WI 54311-4240
Other names (DBA / former)
- Doing business as
- Medi Weight Loss Appleton
Registry dates
- Enumerated
- 2015-12-23
- Last updated
- 2015-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.