| |
551 Main St Highland WI 53543-9779 | |
(608) 929-4518 | |
(608) 929-7697 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 551 Main St, Highland, Wisconsin |
Authorized Official Name and Position | Lisa A. Schnedler (ADMINISTRATOR/CEO) |
Authorized Official Contact | 6089307200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
551 Main St Po Box 266 Highland WI 53543-9779 Ph: (608) 929-4518 | 551 Main St Highland WI 53543-9779 Ph: (608) 929-4518 |
NPI Number | 1972851418 |
---|---|
Provider Enumeration Date | 08/15/2012 |
Last Update Date | 03/13/2020 |
Medicare PECOS PAC ID | 3072415553 |
---|---|
Medicare Enrollment ID | O20120918000161 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972851418 | NPI | - | NPPES |
WI1085 | Other | WI | MEDICARE PTAN |