Birchwood Family Medicine, Llc | |
101 West Loomis Street Suite A Birchwood WI 54817 | |
(715) 202-6782 | |
(715) 800-1982 |
Full Name | Birchwood Family Medicine, Llc |
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Speciality | Family Medicine |
Location | 101 West Loomis Street, Birchwood, Wisconsin |
Authorized Official Name and Position | Kristen Marjorie Dall-winther (OWNER/CEO) |
Authorized Official Contact | 7152026782 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Birchwood Family Medicine, Llc Po Box 2 Birchwood WI 54817-0002 Ph: (715) 202-6782 | Birchwood Family Medicine, Llc 101 West Loomis Street Suite A Birchwood WI 54817 Ph: (715) 202-6782 |
NPI Number | 1285470724 |
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Provider Enumeration Date | 07/03/2024 |
Last Update Date | 07/03/2024 |
Identifier | Type | State | Issuer |
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1285470724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Northlakes Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 S Main St, Birchwood, WI 54817 Phone: 715-354-3369 Fax: 715-354-7158 |