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2333 Northwestern Ave Ste 115 Racine WI 53404-2520 | |
| (262) 635-5600 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2333 Northwestern Ave Ste 115, Racine, Wisconsin |
| Authorized Official Name and Position | Donna Owens (VP ASCENSION WI EMPLOYER SOLUTIONS) |
| Authorized Official Contact | 4144653600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2700 W 9th Ave Ste 101a Oshkosh WI 54904-7201 Ph: (414) 465-3600 | 2333 Northwestern Ave Ste 115 Racine WI 53404-2520 Ph: (262) 635-5600 |
| NPI Number | 1932719580 |
|---|---|
| Provider Enumeration Date | 08/07/2020 |
| Last Update Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932719580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QX0100X | Clinic/center - Occupational Medicine | (* (Not Available)) | Secondary |
Bruce A Luccas, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3805b Spring St, Ste 130, Racine, WI 53405 Phone: 262-631-8750 Fax: 262-631-8754 | |
Family Care Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5439 Durand Ave, Suite 202, Racine, WI 53406 Phone: 262-598-9205 | |
Kenosha Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 Center St, Racine, WI 53403 Phone: 262-764-3608 Fax: 262-764-3636 | |
Racine Community Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Dr Martin Luther King Dr # 17, Racine, WI 53404 Phone: 262-800-7242 | |
Lotus Comprehensive Health Care, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Indiana St, Racine, WI 53405 Phone: 262-497-1000 | |