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1010 Olive Ave Florence WI 54121-0380 | |
(800) 380-7411 | |
(715) 528-5592 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1010 Olive Ave, Florence, Wisconsin |
Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 9204457226 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 22487 Green Bay WI 54305-2487 Ph: (920) 445-7222 | 1010 Olive Ave Florence WI 54121-0380 Ph: (800) 380-7411 |
NPI Number | 1265921027 |
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Provider Enumeration Date | 05/08/2018 |
Last Update Date | 05/08/2018 |
Identifier | Type | State | Issuer |
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1265921027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |