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107 E Highland Dr Oconto Falls WI 54154-1002 | |
(920) 846-3092 | |
(920) 846-8313 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 107 E Highland Dr, Oconto Falls, Wisconsin |
Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 9204457226 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 22487 Green Bay WI 54305-2487 Ph: (920) 445-7222 | 107 E Highland Dr Oconto Falls WI 54154-1002 Ph: (920) 846-3092 |
NPI Number | 1285696963 |
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Provider Enumeration Date | 04/06/2006 |
Last Update Date | 10/16/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285696963 | NPI | - | NPPES |
43059400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |