| Aspirus Medical Group, Inc. | |
|
6951 S Michigan St Three Lakes WI 54562-9281 | |
| (715) 546-2543 | |
| Not Available |
| Full Name | Aspirus Medical Group, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 6951 S Michigan St, Three Lakes, Wisconsin |
| Authorized Official Name and Position | Lori Peck (VP REVENUE CYCLE) |
| Authorized Official Contact | 7158472988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspirus Medical Group, Inc. 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Medical Group, Inc. 6951 S Michigan St Three Lakes WI 54562-9281 Ph: (715) 546-2543 |
| NPI Number | 1891882056 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 11/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891882056 | NPI | - | NPPES |
| 0212750019 | Other | WI | DMERC POS |
| 21300800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Wisconsin) | Primary |
Ascension Sacred Heart - St Mary's Hospitals, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6951 S Michigan St, Three Lakes, WI 54562 Phone: 715-546-2543 Fax: 715-546-8246 |