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318 N 6th St Tomahawk WI 54487-1423 | |
(715) 436-5066 | |
(715) 425-5848 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 318 N 6th St, Tomahawk, Wisconsin |
Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | 318 N 6th St Tomahawk WI 54487-1423 Ph: (715) 436-5066 |
NPI Number | 1710644075 |
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Provider Enumeration Date | 11/22/2021 |
Last Update Date | 10/13/2022 |
Identifier | Type | State | Issuer |
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1710644075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |