| Aspirus Antigo Clinic | |
|
110 E 5th Ave Antigo WI 54409-2710 | |
| (715) 623-2351 | |
| Not Available |
| Full Name | Aspirus Antigo Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 E 5th Ave, Antigo, 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 Antigo Clinic 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Antigo Clinic 110 E 5th Ave Antigo WI 54409-2710 Ph: (715) 623-2351 |
| NPI Number | 1821151366 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 06/13/2024 |
| Medicare PECOS PAC ID | 1557271202 |
|---|---|
| Medicare Enrollment ID | O20170510002395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821151366 | NPI | - | NPPES |
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