| |
1687 E Division St River Falls WI 54022-1571 | |
(715) 307-6405 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 1687 E Division St, River Falls, Wisconsin |
Authorized Official Name and Position | Dominica Tallarico (COO) |
Authorized Official Contact | 6122222222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 43 Mail Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | 1687 E Division St River Falls WI 54022-1571 Ph: (715) 307-6405 |
NPI Number | 1619559663 |
---|---|
Provider Enumeration Date | 04/28/2021 |
Last Update Date | 03/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619559663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Healtheast Medical Research Insititue Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 S Main St, River Falls, WI 54022 Phone: 715-425-6701 Fax: 715-426-3994 | |