| Aspirus Outpatient Therapies | |
|
3402 Howland Ave Suite 100 Weston WI 54476-5633 | |
| (715) 355-5701 | |
| Not Available |
| Full Name | Aspirus Outpatient Therapies |
|---|---|
| Speciality | Clinic/center |
| Location | 3402 Howland Ave, Weston, 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 |
|---|---|
| Aspirus Outpatient Therapies 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Outpatient Therapies 3402 Howland Ave Suite 100 Weston WI 54476-5633 Ph: (715) 355-5701 |
| NPI Number | 1609950070 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 06/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609950070 | NPI | - | NPPES |
| 0212750014 | Other | WI | DMEPOS |
| 41174100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Wisconsin) | Primary |
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