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2000 Oxford Ave, Bldg. 2 Mailbox 4 Eau Claire WI 54703-5187 | |
| (715) 834-1078 | |
| (715) 834-1218 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 2000 Oxford Ave, Bldg. 2, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Rodney Williams (CFO) |
| Authorized Official Contact | 4073517080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2500 Maitland Center Parkway Suite 250 Maitland FL 32751-4174 Ph: (407) 351-7080 | 2000 Oxford Ave, Bldg. 2 Mailbox 4 Eau Claire WI 54703-5187 Ph: (715) 834-1078 |
| NPI Number | 1023223831 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023223831 | NPI | - | NPPES |
| 42030900 | Medicaid | WI | |
| 42241000 | Medicaid | WI |
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