| Aspirus Wittenberg Clinic | |
|
1660 Sue Alan Dr Wittenberg WI 54499-8655 | |
| (715) 253-2110 | |
| (715) 253-3028 |
| Full Name | Aspirus Wittenberg Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1660 Sue Alan Dr, Wittenberg, Wisconsin |
| Authorized Official Name and Position | Jerry M Yang (SVP & CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7158472526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspirus Wittenberg Clinic 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Wittenberg Clinic 1660 Sue Alan Dr Wittenberg WI 54499-8655 Ph: (715) 253-2110 |
| NPI Number | 1114696507 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 06/07/2024 |
| Medicare PECOS PAC ID | 9335059856 |
|---|---|
| Medicare Enrollment ID | O20220105001278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114696507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Aspirus Wittenberg Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Sue Alan Dr, Wittenberg, WI 54499 Phone: 715-253-2110 | |
Aspirus Wittenberg Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Suealan Drive, Wittenberg, WI 54499 Phone: 715-253-2110 Fax: 715-253-3028 |