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2201 Lake Shore Dr E Ashland WI 54806-2331 | |
(715) 685-6600 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 2201 Lake Shore Dr E, Ashland, Wisconsin |
Authorized Official Name and Position | Katherine Becker (VP COMPLIANCE) |
Authorized Official Contact | 2182495555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2201 Lake Shore Dr E Ashland WI 54806-2331 Ph: (715) 685-6600 | 2201 Lake Shore Dr E Ashland WI 54806-2331 Ph: (715) 685-6600 |
NPI Number | 1316999485 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 12/30/2024 |
Identifier | Type | State | Issuer |
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1316999485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Mainstreet Clinic Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Main St W, Ashland, WI 54806 Phone: 715-682-5601 Fax: 715-682-6878 | |
Ashland Audiology Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Beaser Ave, Suite 3, Ashland, WI 54806 Phone: 715-682-9311 Fax: 715-682-9313 | |