| |
1056 E Green Bay St, Shawano, WI 54166-2293 | |
(715) 524-4242 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Audiologist |
Location | 1056 E Green Bay St, Shawano, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851817399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1520 N Meade St, Appleton, WI 54911-3762 Ph: (920) 734-7181 | 1056 E Green Bay St, Shawano, WI 54166-2293 Ph: (715) 524-4242 |