| |
3200 Westhill Dr Suite 102 Wausau WI 54401-4705 | |
(715) 847-2019 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 3200 Westhill Dr, Wausau, Wisconsin |
Authorized Official Name and Position | F Dean Danner (V.P. C.O.O.) |
Authorized Official Contact | 7158472975 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1223 Wausau WI 54402-1223 Ph: (715) 847-2019 | 3200 Westhill Dr Suite 102 Wausau WI 54401-4705 Ph: (715) 847-2019 |
NPI Number | 1144375213 |
---|---|
Provider Enumeration Date | 01/25/2007 |
Last Update Date | 02/18/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144375213 | NPI | - | NPPES |
21308600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Wisconsin) | Primary |
Spine & Brain Group Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2800 Westhill Dr, Suite 200, Wausau, WI 54401 Phone: 715-843-1000 Fax: 715-843-1001 |