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10212n N Greenwood Ln Hayward WI 54843-7220 | |
(715) 634-6520 | |
(715) 634-7055 |
Full Name | |
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Speciality | Clinic/Center |
Location | 10212n N Greenwood Ln, Hayward, Wisconsin |
Authorized Official Name and Position | Catherine M Bukowski (CFO, AO) |
Authorized Official Contact | 7153879370 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1000 N Oak Ave Provider Enrollment Shp Fl2 Marshfield WI 54449-5703 Ph: (715) 389-0660 | 10212n N Greenwood Ln Hayward WI 54843-7220 Ph: (715) 634-6520 |
NPI Number | 1639766694 |
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Provider Enumeration Date | 12/24/2020 |
Last Update Date | 08/30/2023 |
Medicare PECOS PAC ID | 6103737820 |
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Medicare Enrollment ID | O20210104001245 |
Identifier | Type | State | Issuer |
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1639766694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ashland Audiology Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11040 N State Road 77, Hayward, WI 54843 Phone: 715-682-9311 Fax: 715-682-9313 | |
Northwoods Chiropractic Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15614 Windrose Ln, Suite 300, Hayward, WI 54843 Phone: 715-634-9911 Fax: 715-634-9911 | |