| (inactive) Marshfield Medical Center - Beaver Dam Juneau Center | |
|
420 W North St Juneau WI 53039 | |
| (920) 386-8101 | |
| (920) 386-8109 |
| Full Name | (inactive) Marshfield Medical Center - Beaver Dam Juneau Center |
|---|---|
| Speciality | Family Medicine |
| Location | 420 W North St, Juneau, Wisconsin |
| Authorized Official Name and Position | Gordon T Edwards (CFO/COO/AO) |
| Authorized Official Contact | 7153875823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| (inactive) Marshfield Medical Center - Beaver Dam Juneau Center 1000 N Oak Ave Attn: Provider Enrollment Services/wwp Marshfield WI 54449-5703 Ph: (715) 389-0660 | (inactive) Marshfield Medical Center - Beaver Dam Juneau Center 420 W North St Juneau WI 53039 Ph: (920) 386-8101 |
| NPI Number | 1831410521 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 03/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831410521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Uwhp Wrmc Juneau Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 334 S Western Ave, Juneau, WI 53039 Phone: 920-386-0290 |