Full Name | |
---|---|
Speciality | Clinic/center |
Location | 204 S Main St, Alma, Wisconsin |
Authorized Official Name and Position | John K Wolfe (CFO) |
Authorized Official Contact | 6515655553 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1200 Grant Blvd W Wabasha MN 55981-1042 Ph: (651) 565-4531 | 204 S Main St Alma WI 54610-7722 Ph: (651) 565-5599 |
NPI Number | 1376062802 |
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Provider Enumeration Date | 09/15/2017 |
Last Update Date | 03/16/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376062802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |