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425 Wind Ridge Dr Wausau WI 54401-4149 | |
(715) 675-3391 | |
(715) 675-4253 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 425 Wind Ridge Dr, Wausau, Wisconsin |
Authorized Official Name and Position | Forrest D Danner (SR VP/COO) |
Authorized Official Contact | 7158472975 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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425 Wind Ridge Dr Wausau WI 54401-4149 Ph: (715) 675-3391 | 425 Wind Ridge Dr Wausau WI 54401-4149 Ph: (715) 675-3391 |
NPI Number | 1790059996 |
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Provider Enumeration Date | 03/06/2012 |
Last Update Date | 05/02/2012 |
Identifier | Type | State | Issuer |
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1790059996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | 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 |