| Integrated Health Services, Llc | |
|
74 Eclipse Ctr Beloit WI 53511-3550 | |
| (608) 361-0311 | |
| Not Available |
| Full Name | Integrated Health Services, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 74 Eclipse Ctr, Beloit, Wisconsin |
| Authorized Official Name and Position | Richard A Perry (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6083616130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Health Services, Llc 74 Eclipse Ctr Beloit WI 53511-3550 Ph: (608) 361-0311 | Integrated Health Services, Llc 74 Eclipse Ctr Beloit WI 53511-3550 Ph: (608) 361-0311 |
| NPI Number | 1841456761 |
|---|---|
| Provider Enumeration Date | 07/30/2008 |
| Last Update Date | 06/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841456761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
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