Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Conrad Wynstra

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104643675

Conrad Wynstra is an Addiction (Substance Use Disorder) Counselor in Waukesha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

2422 N Grandview Blvd
Waukesha, WI 53188-6105
Phone: (262) 549-6600
Fax: (262) 549-6698
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 20673-130 (WI)

Record details

NPI number1104643675
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2024
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

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