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28 Commerce St Wisconsin Dells WI 53965-8293 | |
(608) 254-5888 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 28 Commerce St, Wisconsin Dells, Wisconsin |
Authorized Official Name and Position | James Okeefe (PRESIDENT) |
Authorized Official Contact | 6082545888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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28 Commerce St Wisconsin Dells WI 53965-8293 Ph: (608) 254-5888 | 28 Commerce St Wisconsin Dells WI 53965-8293 Ph: (608) 254-5888 |
NPI Number | 1487734380 |
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Provider Enumeration Date | 10/16/2006 |
Last Update Date | 11/30/2023 |
Medicare PECOS PAC ID | 8527971399 |
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Medicare Enrollment ID | O20130509000632 |
Identifier | Type | State | Issuer |
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1487734380 | NPI | - | NPPES |
21271700 | Medicaid | WI |