Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 2727 Plaza Dr, Wausau, Wisconsin |
Authorized Official Name and Position | Kathleen A Bressler (COO, AO) |
Authorized Official Contact | 7159756018 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1000 N Oak Ave Marshfield WI 54449-5703 Ph: (715) 387-5211 | 2727 Plaza Dr Wausau WI 54401-4129 Ph: (715) 847-3000 |
NPI Number | 1164159109 |
---|---|
Provider Enumeration Date | 08/01/2022 |
Last Update Date | 08/07/2024 |
Medicare PECOS PAC ID | 5698071173 |
---|---|
Medicare Enrollment ID | O20230905001341 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164159109 | NPI | - | NPPES |
Spine & Brain Group Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2800 Westhill Dr, Suite 200, Wausau, WI 54401 Phone: 715-843-1000 Fax: 715-843-1001 |