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N4993 6th Dr Westfield WI 53964-8200 | |
(608) 296-2121 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | N4993 6th Dr, Westfield, Wisconsin |
Authorized Official Name and Position | Michelle D Ruth (IMPLEMENTATION & TRAINING COORDINAT) |
Authorized Official Contact | 4143751600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8919 W Heather Ave Milwaukee WI 53224-2417 Ph: (414) 375-1600 | N4993 6th Dr Westfield WI 53964-8200 Ph: (608) 296-2121 |
NPI Number | 1073067013 |
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Provider Enumeration Date | 08/08/2016 |
Last Update Date | 05/07/2019 |
Identifier | Type | State | Issuer |
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1073067013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 1417905035 (Wisconsin) | Primary |
Northland Home Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 328 N Main St, Westfield, WI 53964 Phone: 608-296-3811 Fax: 608-296-2480 |