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840 Spruce St Baldwin WI 54002-3264 | |
(715) 531-6800 | |
(715) 531-6801 |
Full Name | |
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Speciality | Family Medicine |
Location | 840 Spruce St, Baldwin, Wisconsin |
Authorized Official Name and Position | Ernie Wallin (ADMINISTRATOR) |
Authorized Official Contact | 7155316862 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2651 Hillcrest Dr Ste 303 Hudson WI 54016-9919 Ph: (715) 531-6800 | 840 Spruce St Baldwin WI 54002-3264 Ph: (715) 531-6800 |
NPI Number | 1093238347 |
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Provider Enumeration Date | 07/19/2017 |
Last Update Date | 09/07/2023 |
Identifier | Type | State | Issuer |
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1093238347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |