| Pisang Llc | |
|
37868 Us Highway 18 Prairie Du Chien WI 53821-8416 | |
| (702) 453-3799 | |
| (702) 453-5741 |
| Full Name | Pisang Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 37868 Us Highway 18, Prairie Du Chien, Wisconsin |
| Authorized Official Name and Position | Benny Kusuma (SOLE OWNER) |
| Authorized Official Contact | 3162091424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pisang Llc Po Box 3602 La Crosse WI 54602-3602 Ph: (702) 453-3799 | Pisang Llc 37868 Us Highway 18 Prairie Du Chien WI 53821-8416 Ph: (702) 453-3799 |
| NPI Number | 1316302797 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 12/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316302797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 52325-20 (Wisconsin) | Primary |
| 207R00000X | Internal Medicine | 54950 (Minnesota) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
Mayo Clinic Health System - Franciscan Healthcare Prairie Du Chien Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 E Blackhawk Ave, Prairie Du Chien, WI 53821 Phone: 608-326-0808 | |
Pdc Hospitalist Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37868 Us Highway 18, Prairie Du Chien, WI 53821 Phone: 307-638-0300 Fax: 307-638-0394 | |
Prairie Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37868 Us Highway 18, Prairie Du Chien, WI 53821 Phone: 702-453-3799 Fax: 702-453-5741 | |
Prairie Medicine Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 S Beaumont Rd, Prairie Du Chien, WI 53821 Phone: 608-326-6402 Fax: 608-326-6404 | |
Prairie Du Chien Area School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 S Wacouta Ave, Prairie Du Chien, WI 53821 Phone: 608-326-8451 Fax: 608-326-0000 | |
Crossing Rivers Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37868 Us Highway 18, Prairie Du Chien, WI 53821 Phone: 608-357-2000 Fax: 608-357-2254 |