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1501 Thompson St Bloomer WI 54724-1257 | |
| (715) 566-2000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1501 Thompson St, Bloomer, Wisconsin |
| Authorized Official Name and Position | Julie Hansen (CFO) |
| Authorized Official Contact | 7158385270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1501 Thompson St Bloomer WI 54724-1257 Ph: (715) 566-2000 | 1501 Thompson St Bloomer WI 54724-1257 Ph: (715) 566-2000 |
| NPI Number | 1548796444 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548796444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |