| Internal Medicine Clinic | |
|
260 26th St Prairie Du Sac WI 53578-1599 | |
| (608) 643-3311 | |
| Not Available |
| Full Name | Internal Medicine Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 260 26th St, Prairie Du Sac, Wisconsin |
| Authorized Official Name and Position | James Dregney (CFO) |
| Authorized Official Contact | 6086437212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Clinic Po Box 160 Prairie Du Sac WI 53578-0160 Ph: (608) 643-3311 | Internal Medicine Clinic 260 26th St Prairie Du Sac WI 53578-1599 Ph: (608) 643-3311 |
| NPI Number | 1740425057 |
|---|---|
| Provider Enumeration Date | 12/16/2008 |
| Last Update Date | 02/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740425057 | NPI | - | NPPES |
| DA6064 | Other | RAILROAD MEDICARE | |
| 100001867 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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