Uwhp Wrmc Ixonia Clinic | |
W1046 Marietta Ave Ste 230 Ixonia WI 53036-9498 | |
(920) 206-6310 | |
Not Available |
Full Name | Uwhp Wrmc Ixonia Clinic |
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Speciality | Family Medicine |
Location | W1046 Marietta Ave, Ixonia, Wisconsin |
Authorized Official Name and Position | Robert James Kluge (PATIENT ACCOUNTS MANAGER) |
Authorized Official Contact | 9202624784 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Uwhp Wrmc Ixonia Clinic Po Box 684088 Chicago IL 60695-4088 Ph: (920) 262-4784 | Uwhp Wrmc Ixonia Clinic W1046 Marietta Ave Ste 230 Ixonia WI 53036-9498 Ph: (920) 206-6310 |
NPI Number | 1033398664 |
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Provider Enumeration Date | 10/31/2007 |
Last Update Date | 03/20/2014 |
Identifier | Type | State | Issuer |
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1033398664 | NPI | - | NPPES |
21320400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Wisconsin) | Primary |