| First Impressions Of Medford | |
|
124 S Main St Medford WI 54451-1841 | |
| (715) 748-5435 | |
| Not Available |
| Full Name | First Impressions Of Medford |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 124 S Main St, Medford, Wisconsin |
| Authorized Official Name and Position | Kim Seehafer (ACCOUNTANT) |
| Authorized Official Contact | 7158424649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Impressions Of Medford Po Box 48 Schofield WI 54476-0048 Ph: (715) 748-5435 | First Impressions Of Medford 124 S Main St Medford WI 54451-1841 Ph: (715) 748-5435 |
| NPI Number | 1447531827 |
|---|---|
| Provider Enumeration Date | 08/30/2011 |
| Last Update Date | 08/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447531827 | NPI | - | NPPES |
| 38388300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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