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910 Fremont St Stevens Point WI 54481-3105 | |
(715) 346-4646 | |
(715) 346-4752 |
Full Name | |
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Speciality | Clinic/center - Student Health |
Location | 910 Fremont St, Stevens Point, Wisconsin |
Authorized Official Name and Position | Gerhard W Hettler (DIRECTOR) |
Authorized Official Contact | 7153464646 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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910 Fremont St Stevens Point WI 54481-3105 Ph: (715) 346-4646 | 910 Fremont St Stevens Point WI 54481-3105 Ph: (715) 346-4646 |
NPI Number | 1487849055 |
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Provider Enumeration Date | 09/07/2007 |
Last Update Date | 12/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487849055 | NPI | - | NPPES |
33278000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | 1006-042 (Wisconsin) | Primary |
Anovia Health Ins, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2417 Post Rd, Stevens Point, WI 54481 Phone: 715-883-3200 Fax: 715-544-0908 | |
605 Sport And Spine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2212 Division St, Stevens Point, WI 54481 Phone: 715-544-6364 | |