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108 Oak St, Frederic, WI 54837-9547 | |
(715) 327-8239 | |
(608) 571-0088 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 108 Oak St, Frederic, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669585352 | NPI | - | NPPES |
38722500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Jennifer Turcott |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689674616 PECOS PAC ID: 6800902792 Enrollment ID: I20110518000101 |
Mailing Address | Practice Location Address |
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Po Box 767, Saint Croix Falls, WI 54024-0767 Ph: (715) 483-3259 | 108 Oak St, Frederic, WI 54837-9547 Ph: (715) 327-8239 |