Katie J Udenberg, DO | |
2116 Craig Rd, Eau Claire, WI 54701-6118 | |
(715) 858-4610 | |
Not Available |
Full Name | Katie J Udenberg |
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Gender | Female |
Speciality | Pediatrics |
Location | 2116 Craig Rd, Eau Claire, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699121384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 71438-21 (Wisconsin) | Primary |
Entity Name | Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619355351 PECOS PAC ID: 8729072418 Enrollment ID: O20150814013380 |
Mailing Address | Practice Location Address |
---|---|
Katie J Udenberg, DO 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Katie J Udenberg, DO 2116 Craig Rd, Eau Claire, WI 54701-6118 Ph: (715) 858-4610 |
Camilla Michelle Nelson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
John J Plewa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-838-5222 | |
Uday Tiwari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Spoorthi Jagadish, Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Dr. Chetna Mangat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Naghma Husain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
John P Layde, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-838-5222 |