|
| |
|
1881 County Road Xx Mosinee WI 54455-7933 | |
| (715) 355-4040 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1881 County Road Xx, Mosinee, Wisconsin |
| Authorized Official Name and Position | Jerry M Yang (SVP & CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7158472526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | 1881 County Road Xx Mosinee WI 54455-7933 Ph: (715) 355-4040 |
| NPI Number | 1659452878 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 06/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659452878 | NPI | - | NPPES |
| 32848900 | Medicaid | WI | |
| 1659452878 | Medicaid | WI | |
| CC8777 | Other | WI | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Wisconsin) | Primary |
Kenechi Anuligo Dba Alpine Family Medicine & Allergy Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 State Highway 153 Ste Ce, Mosinee, WI 54455 Phone: 715-693-2843 | |
Wianecki Chiropractic, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2290 Cth X, Suite B, Mosinee, WI 54455 Phone: 715-693-3170 | |