University Of Wisconsin System Non Payroll | |
103 1st Ave W Menomonie WI 54751-1876 | |
(715) 232-1314 | |
Not Available |
Full Name | University Of Wisconsin System Non Payroll |
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Speciality | Clinic/center - Student Health |
Location | 103 1st Ave W, Menomonie, Wisconsin |
Authorized Official Name and Position | Janice Lawrence Ramaeker (DIRECTOR/ADMINISTRATOR) |
Authorized Official Contact | 7152322114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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University Of Wisconsin System Non Payroll 103 1st Ave W Menomonie WI 54751-1876 Ph: (715) 232-1314 | University Of Wisconsin System Non Payroll 103 1st Ave W Menomonie WI 54751-1876 Ph: (715) 232-1314 |
NPI Number | 1558531251 |
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Provider Enumeration Date | 03/10/2008 |
Last Update Date | 08/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558531251 | NPI | - | NPPES |
32118900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | 34254-020 (Wisconsin) | Primary |
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