| Ssm Health Care Of Wisconsin Inc | |
|
707 14th St, Baraboo, WI 53913-1539 | |
| (608) 356-1400 | |
| Not Available |
| Full Name | Ssm Health Care Of Wisconsin Inc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 707 14th St, Baraboo, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467435214 | NPI | - | NPPES |
| 391023846 | Other | WI | COMMERICAL INS PROV # |
| 1009390 | Other | WI | PHYS PLUS PROV # |
| 11022800 | Medicaid | WI | |
| 391023846028 | Other | WI | BLUE CROSS PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Health Care Of Wisconsin Inc 707 14th St, Baraboo, WI 53913-1539 Ph: (608) 356-1400 | Ssm Health Care Of Wisconsin Inc 707 14th St, Baraboo, WI 53913-1539 Ph: (608) 356-1400 |
Laura J Sachtjen, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400 | |
John T Stuntebeck, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400 | |
Jeannine Liloett Lise, RD CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400 | |
Mr. Alex M Richeson, MS, RDN, CD Dietitian Medicare: Medicare Enrolled Practice Location: S2845 White Eagle Rd, Baraboo, WI 53913 Phone: 608-355-1240 Fax: 608-356-7152 | |
Kyla Ripp, RDN, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: S2845 White Eagle Rd, Baraboo, WI 53913 Phone: 608-355-1240 | |
Rene A Walters, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400 | |
Mrs. Julie Elizabeth Larsen, RD., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: S2845 White Eagle Rd, Baraboo, WI 53913 Phone: 608-335-1240 |