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1015 Angelus Dr Nekoosa WI 54457-1617 | |
(715) 866-2100 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1015 Angelus Dr, Nekoosa, 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 |
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29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | 1015 Angelus Dr Nekoosa WI 54457-1617 Ph: (715) 866-2100 |
NPI Number | 1104284512 |
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Provider Enumeration Date | 02/01/2016 |
Last Update Date | 01/22/2025 |
Medicare PECOS PAC ID | 4587658182 |
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Medicare Enrollment ID | O20170411000010 |
Identifier | Type | State | Issuer |
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1104284512 | NPI | - | NPPES |