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441 French St Peshtigo WI 54157-1203 | |
(715) 582-9949 | |
(715) 582-4464 |
Full Name | |
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Speciality | Family Medicine |
Location | 441 French St, Peshtigo, Wisconsin |
Authorized Official Name and Position | Carol Hipke (DIRECTOR OF BUSINESS SERVICES) |
Authorized Official Contact | 7157322078 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3120 Riverside Ave Gate B Building 1 Marinette WI 54143-1123 Ph: (715) 732-2075 | 441 French St Peshtigo WI 54157-1203 Ph: (715) 582-9949 |
NPI Number | 1528235033 |
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Provider Enumeration Date | 05/14/2008 |
Last Update Date | 03/29/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528235033 | NPI | - | NPPES |
43060200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |