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3812 Creekside Ln, Holmen, WI 54636-9466 | |
(507) 452-0994 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 3812 Creekside Ln, Holmen, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548452873 | NPI | - | NPPES |
81582200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 505 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
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111 Market St, Suite 3c, Winona, MN 55987-5532 Ph: (507) 452-0994 | 3812 Creekside Ln, Holmen, WI 54636-9466 Ph: (507) 452-0994 |