| La Crosse Pediatric Dentistry Llc | |
|
2 Copeland Ave Ste 203 La Crosse WI 54603-3419 | |
| (608) 782-4054 | |
| (608) 782-2198 |
| Full Name | La Crosse Pediatric Dentistry Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2 Copeland Ave Ste 203, La Crosse, Wisconsin |
| Authorized Official Name and Position | Jonathan M Hanks (ONWER/DDS) |
| Authorized Official Contact | 6087824054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Crosse Pediatric Dentistry Llc 2 Copeland Ave Ste 203 La Crosse WI 54603-3419 Ph: (608) 782-4054 | La Crosse Pediatric Dentistry Llc 2 Copeland Ave Ste 203 La Crosse WI 54603-3419 Ph: (608) 782-4054 |
| NPI Number | 1831550813 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 03/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831550813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1001174-15 (Wisconsin) | Primary |
Premise Health Of Wisconsin Medical, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 Kwik Trip Way, La Crosse, WI 54603 Phone: 608-781-4460 Fax: 608-781-5587 | |
Durtsche Chiropractic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2045 32nd St S, La Crosse, WI 54601 Phone: 608-788-1170 | |
Gundersen Lutheran Express Care La Crosse Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 State Rd, La Crosse, WI 54601 Phone: 608-782-7300 | |
Uw - La Crosse Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Badger St, Suite 1030, La Crosse, WI 54601 Phone: 608-785-8558 Fax: 608-785-8746 | |
Scenic Bluffs Community Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Copeland Ave, Suite 203, La Crosse, WI 54603 Phone: 608-654-5100 Fax: 608-654-5120 | |
Gundersen Healthy Living Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 Main St, La Crosse, WI 54601 Phone: 608-782-9622 | |
Gundersen Lutheran Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 7th St S, La Crosse, WI 54601 Phone: 608-782-7300 |