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900 W Clairemont Ave Eau Claire WI 54701-6122 | |
| (715) 717-4131 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 900 W Clairemont Ave, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Patricia Allen (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9204964700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 19070 Green Bay WI 54307-9070 Ph: (920) 496-4700 | 900 W Clairemont Ave Eau Claire WI 54701-6122 Ph: (715) 717-4131 |
| NPI Number | 1619355351 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619355351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
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