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3603 Schneider Ave Se Menomonie WI 54751-5674 | |
(715) 233-6400 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 3603 Schneider Ave Se, Menomonie, Wisconsin |
Authorized Official Name and Position | Gordon T Edwards (CFO/COO) |
Authorized Official Contact | 7153875211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1000 N Oak Ave Marshfield WI 54449 Ph: (715) 387-5211 | 3603 Schneider Ave Se Menomonie WI 54751-5674 Ph: (715) 233-6400 |
NPI Number | 1770123218 |
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Provider Enumeration Date | 01/13/2020 |
Last Update Date | 12/28/2020 |
Identifier | Type | State | Issuer |
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1770123218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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