Kreuser Clinic S C | |
320 Superior Ave Washburn WI 54891-9426 | |
(715) 373-0128 | |
(715) 373-0135 |
Full Name | Kreuser Clinic S C |
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Speciality | Clinic/Center |
Location | 320 Superior Ave, Washburn, Wisconsin |
Authorized Official Name and Position | Stephen Robert Kreuser (PRESIDENT) |
Authorized Official Contact | 7153730128 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kreuser Clinic S C 320 Superior Avenue Washburn WI 54891-9426 Ph: (715) 373-0128 | Kreuser Clinic S C 320 Superior Ave Washburn WI 54891-9426 Ph: (715) 373-0128 |
NPI Number | 1992095970 |
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Provider Enumeration Date | 04/12/2011 |
Last Update Date | 12/08/2014 |
Medicare PECOS PAC ID | 5496930430 |
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Medicare Enrollment ID | O20110506000261 |
Identifier | Type | State | Issuer |
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1992095970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 26675 (Wisconsin) | Primary |
Provider Name | Stephen R Kreuser |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1366416539 PECOS PAC ID: 0345423554 Enrollment ID: I20110506000377 |
Northlakes Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Superior Ave Ste D, Washburn, WI 54891 Phone: 715-373-2233 Fax: 715-373-5530 |