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426 E Somo Ave Tomahawk WI 54487-1536 | |
(715) 453-1768 | |
(715) 453-0540 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 426 E Somo Ave, Tomahawk, Wisconsin |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1690616906 Collections Ctr Dr Chicago IL 60693-0169 Ph: (715) 453-1768 | 426 E Somo Ave Tomahawk WI 54487-1536 Ph: (715) 453-1768 |
NPI Number | 1922383744 |
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Provider Enumeration Date | 10/12/2011 |
Last Update Date | 08/15/2022 |
Identifier | Type | State | Issuer |
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1922383744 | NPI | - | NPPES |