Uwhp Wrmc Lake Mills Clinic | |
1025 Mulberry St Lake Mills WI 53551-1304 | |
(920) 648-4518 | |
Not Available |
Full Name | Uwhp Wrmc Lake Mills Clinic |
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Speciality | Family Medicine |
Location | 1025 Mulberry St, Lake Mills, Wisconsin |
Authorized Official Name and Position | Robert James Kluge (DIRECTOR PATIENT ACCOUNTING) |
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 Lake Mills Clinic Po Box 684088 Chicago IL 60695-4088 Ph: (920) 262-4640 | Uwhp Wrmc Lake Mills Clinic 1025 Mulberry St Lake Mills WI 53551-1304 Ph: (920) 648-4518 |
NPI Number | 1053590687 |
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Provider Enumeration Date | 10/31/2007 |
Last Update Date | 03/19/2014 |
Identifier | Type | State | Issuer |
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1053590687 | NPI | - | NPPES |
21266900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Wisconsin) | Primary |