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550 Martin Ave W Turtle Lake Medical Clinic Turtle Lake WI 54889-9069 | |
(715) 986-4101 | |
(715) 986-4033 |
Full Name | |
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Speciality | Clinic/Center |
Location | 550 Martin Ave W, Turtle Lake, Wisconsin |
Authorized Official Name and Position | Debra A Rudquist (PRESIDENT/CEO) |
Authorized Official Contact | 7152688000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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265 Griffin St E Amery Regional Medical Center Amery WI 54001-1439 Ph: (715) 268-8000 | 550 Martin Ave W Turtle Lake Medical Clinic Turtle Lake WI 54889-9069 Ph: (715) 986-4101 |
NPI Number | 1538384466 |
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Provider Enumeration Date | 04/16/2007 |
Last Update Date | 04/10/2015 |
Medicare PECOS PAC ID | 2769391960 |
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Medicare Enrollment ID | O20131204001950 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538384466 | NPI | - | NPPES |
528561 | Other | WI | RURAL HEALTH CLINIC |
1861552010 | Other | WI | CARLA VOSSEN NP |
52DD397211 | Other | CLIA | |
1720050909 | Other | WI | VERONICA MINIER, MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Wisconsin) | Primary |