| Aspirus Eagle River Clinic | |
|
930 E Wall St Eagle River WI 54521-9368 | |
| (715) 477-3000 | |
| Not Available |
| Full Name | Aspirus Eagle River Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 930 E Wall St, Eagle River, 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 Eagle River Clinic 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Eagle River Clinic 930 E Wall St Eagle River WI 54521-9368 Ph: (715) 477-3000 |
| NPI Number | 1689339319 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 06/10/2024 |
| Medicare PECOS PAC ID | 9335059856 |
|---|---|
| Medicare Enrollment ID | O20220105001435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689339319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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