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101 S Wisconsin Ave Stratford WI 54484-9692 | |
(715) 221-8790 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 101 S Wisconsin Ave, Stratford, Wisconsin |
Authorized Official Name and Position | Gregory R Nycz (DIRECTOR OF FAMILY HEALTH CENTER) |
Authorized Official Contact | 7153879137 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1000 N Oak Ave P.o. Box 7900 Marshfield WI 54449-5703 Ph: (715) 389-4574 | 101 S Wisconsin Ave Stratford WI 54484-9692 Ph: (715) 221-8790 |
NPI Number | 1710321757 |
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Provider Enumeration Date | 04/22/2013 |
Last Update Date | 06/15/2016 |
Identifier | Type | State | Issuer |
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1710321757 | NPI | - | NPPES |