Ffp Clinical Services Llc | |
3050 Cahill Main Ste 6 Fitchburg WI 53711-7137 | |
(608) 274-3784 | |
Not Available |
Full Name | Ffp Clinical Services Llc |
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Speciality | Clinic/Center |
Location | 3050 Cahill Main Ste 6, Fitchburg, Wisconsin |
Authorized Official Name and Position | Thaddeus Schumacher (DIRECTOR) |
Authorized Official Contact | 6082743784 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ffp Clinical Services Llc 3050 Cahill Main Ste 6 Fitchburg WI 53711-7137 Ph: () - | Ffp Clinical Services Llc 3050 Cahill Main Ste 6 Fitchburg WI 53711-7137 Ph: (608) 274-3784 |
NPI Number | 1144927583 |
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Provider Enumeration Date | 02/15/2023 |
Last Update Date | 02/15/2023 |
Medicare PECOS PAC ID | 0840655874 |
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Medicare Enrollment ID | O20230427000107 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144927583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
Provider Name | Don A Bukstein |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1174572861 PECOS PAC ID: 6507823531 Enrollment ID: I20041211000105 |
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