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1300 Badger St Suite 1030 La Crosse WI 54601-1502 | |
(608) 785-8558 | |
(608) 785-8746 |
Full Name | |
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Speciality | Clinic/center |
Location | 1300 Badger St, La Crosse, Wisconsin |
Authorized Official Name and Position | Brian K. Allen (DIRECTOR/PHYSICIAN) |
Authorized Official Contact | 6087858558 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1300 Badger St Suite 1030 La Crosse WI 54601-1502 Ph: (608) 785-8558 | 1300 Badger St Suite 1030 La Crosse WI 54601-1502 Ph: (608) 785-8558 |
NPI Number | 1063682938 |
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Provider Enumeration Date | 03/07/2008 |
Last Update Date | 11/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063682938 | NPI | - | NPPES |
31496500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 28854 (Wisconsin) | Primary |
Premise Health Of Wisconsin Medical, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 Kwik Trip Way, La Crosse, WI 54603 Phone: 608-781-4460 Fax: 608-781-5587 | |
Durtsche Chiropractic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2045 32nd St S, La Crosse, WI 54601 Phone: 608-788-1170 | |
Gundersen Lutheran Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 7th St S, La Crosse, WI 54601 Phone: 608-782-7300 |