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441 French St Peshtigo WI 54157-1203 | |
(715) 582-9949 | |
(715) 582-4464 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
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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Po Box 22487 Green Bay WI 54305-2487 Ph: (920) 445-7226 | 441 French St Peshtigo WI 54157-1203 Ph: (715) 582-9949 |
NPI Number | 1710039318 |
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Provider Enumeration Date | 01/17/2007 |
Last Update Date | 03/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710039318 | NPI | - | NPPES |
4825080006 | Other | WI | MEDICARE DME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |