OrganizationActive
Cmwl
NPI 1770957813 · Obesity Medicine (Obstetrics & Gynecology) Physician · De Pere, WI
Provider details
- NPI number
- 1770957813
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Herbert Coussons, Owner
- License
- 43795 (WI)
Mailing address
2641 Development Dr
Green Bay, WI 54311-4240
Registry dates
- Enumerated
- 2015-11-29
- Last updated
- 2015-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.