| Pediatric And Young Adult Medicine, Pa | |
|
1610 Maxwell Dr Suite 245 Hudson WI 54016-8709 | |
| (651) 256-6706 | |
| (651) 256-6707 |
| Full Name | Pediatric And Young Adult Medicine, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1610 Maxwell Dr, Hudson, Wisconsin |
| Authorized Official Name and Position | Terri M Joseph (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 6512566706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric And Young Adult Medicine, Pa 1804 7th St W Saint Paul MN 55116-2300 Ph: (651) 256-6706 | Pediatric And Young Adult Medicine, Pa 1610 Maxwell Dr Suite 245 Hudson WI 54016-8709 Ph: (651) 256-6706 |
| NPI Number | 1710129812 |
|---|---|
| Provider Enumeration Date | 04/03/2009 |
| Last Update Date | 12/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710129812 | NPI | - | NPPES |
| 1245210095 | Medicaid | MN | |
| 1245210210 | Medicaid | MN | |
| 1083694046 | Medicaid | MN | |
| 1912987900 | Medicaid | MN | |
| 1104806165 | Medicaid | MN | |
| 1477870921 | Medicaid | MN | |
| 1497735419 | Medicaid | MN | |
| 1386991339 | Medicaid | MN | |
| 1881057065 | Medicaid | MN | |
| 1861558835 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 154 (Minnesota) | Primary |
Promed Preferred Wi Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 2nd St S, Hudson, WI 54016 Phone: 615-499-3165 | |
Bee Healthy Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 511 2nd St Ste 14, Hudson, WI 54016 Phone: 715-808-0393 | |
Hudson Hospital & Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801 | |
Hudson Physicians Quick Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 Crestview Dr, Hudson, WI 54016 Phone: 715-531-6802 Fax: 715-531-6803 | |
Healthpartners, Hudson Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Stageline Rd # 150, Hudson, WI 54016 Phone: 715-531-6017 | |
Fairview Express Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2651 Hillcrest Dr Ste 302, Hudson, WI 54016 Phone: 612-365-5000 | |
Hudson Physicians S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801 |