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411 Stageline Rd # 150 Hudson WI 54016-7848 | |
(715) 531-6017 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 411 Stageline Rd # 150, Hudson, Wisconsin |
Authorized Official Name and Position | Lisa L Bjorkman (DIRECTOR) |
Authorized Official Contact | 9528837469 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8170 33rd Ave S Mailstop 21110q Bloomington MN 55425-4516 Ph: (952) 883-5375 | 411 Stageline Rd # 150 Hudson WI 54016-7848 Ph: (715) 531-6017 |
NPI Number | 1427420181 |
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Provider Enumeration Date | 10/21/2015 |
Last Update Date | 01/17/2023 |
Identifier | Type | State | Issuer |
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1427420181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Promed Preferred Wi Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 2nd St S, Hudson, WI 54016 Phone: 615-499-3165 | |
Fairview Express Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2651 Hillcrest Dr Ste 302, Hudson, WI 54016 Phone: 612-365-5000 | |
Hudson Physicians S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801 |