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600 Woodside Dr Cornell WI 54732-8003 | |
(715) 239-6344 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 600 Woodside Dr, Cornell, Wisconsin |
Authorized Official Name and Position | Kathleen 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 |
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1000 N Oak Ave Provider Enrollment Shp Fl2 Marshfield WI 54449-5703 Ph: () - | 600 Woodside Dr Cornell WI 54732-8003 Ph: (715) 239-6344 |
NPI Number | 1275007429 |
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Provider Enumeration Date | 01/21/2019 |
Last Update Date | 10/31/2023 |
Medicare PECOS PAC ID | 5698071173 |
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Medicare Enrollment ID | O20190206002391 |
Identifier | Type | State | Issuer |
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1275007429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |