Medical Associates Of Neillsville Llc | |
1105 E Division St Neillsville WI 54456-2122 | |
(715) 819-1044 | |
(715) 819-1045 |
Full Name | Medical Associates Of Neillsville Llc |
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Speciality | Family Medicine |
Location | 1105 E Division St, Neillsville, Wisconsin |
Authorized Official Name and Position | Wendy Proffitt (PRACTICE MANAGER) |
Authorized Official Contact | 7158191044 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Associates Of Neillsville Llc 1105 E Division St Neillsville WI 54456-2122 Ph: (715) 819-1044 | Medical Associates Of Neillsville Llc 1105 E Division St Neillsville WI 54456-2122 Ph: (715) 819-1044 |
NPI Number | 1992148183 |
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Provider Enumeration Date | 04/08/2013 |
Last Update Date | 07/12/2013 |
Medicare PECOS PAC ID | 3779729322 |
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Medicare Enrollment ID | O20130426000304 |
Identifier | Type | State | Issuer |
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1992148183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 49204 (Wisconsin) | Primary |
Provider Name | Shoaib Sheikh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275575581 PECOS PAC ID: 6709883325 Enrollment ID: I20061024000516 |
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