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202 W Us Highway 18 Montfort WI 53569-9452 | |
(608) 943-6308 | |
(608) 943-8408 |
Full Name | |
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Speciality | Clinic/Center |
Location | 202 W Us Highway 18, Montfort, Wisconsin |
Authorized Official Name and Position | Lisa A Schnedler (ADMINSTRATOR/CEO) |
Authorized Official Contact | 6089307200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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202 W Us Highway 18 Montfort WI 53569-9452 Ph: (608) 943-6308 | 202 W Us Highway 18 Montfort WI 53569-9452 Ph: (608) 943-6308 |
NPI Number | 1679821839 |
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Provider Enumeration Date | 08/20/2012 |
Last Update Date | 03/13/2020 |
Medicare PECOS PAC ID | 3072415553 |
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Medicare Enrollment ID | O20120907000489 |
Identifier | Type | State | Issuer |
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1679821839 | NPI | - | NPPES |
WI1085 | Other | WI | MEDICARE PTAN |