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5 Innovation Ct Ste B Appleton WI 54914-1739 | |
(920) 727-7223 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 5 Innovation Ct Ste B, Appleton, Wisconsin |
Authorized Official Name and Position | Michelle D Ruth (IMPLEMENTATION & TRAINING COORDINAT) |
Authorized Official Contact | 4143751623 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8919 W Heather Ave Milwaukee WI 53224-2417 Ph: (414) 375-1623 | 5 Innovation Ct Ste B Appleton WI 54914-1739 Ph: (920) 727-7223 |
NPI Number | 1043703838 |
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Provider Enumeration Date | 06/07/2018 |
Last Update Date | 06/26/2018 |
Identifier | Type | State | Issuer |
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1043703838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
East Wind Healthcare, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Richmond St, Suite C, Appleton, WI 54911 Phone: 920-997-0511 | |
Associates In Gastroenterology Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-738-7300 Fax: 920-738-7301 |