Viaro Llc | |
230 Pine St La Crosse WI 54601-3367 | |
(608) 519-4452 | |
(608) 420-6618 |
Full Name | Viaro Llc |
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Speciality | General Practice |
Location | 230 Pine St, La Crosse, Wisconsin |
Authorized Official Name and Position | Cassie Marie Reisenauer (BILLING COORDINATOR) |
Authorized Official Contact | 6085194452 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Viaro Llc 333 Front St N La Crosse WI 54601-3220 Ph: (608) 519-4452 | Viaro Llc 230 Pine St La Crosse WI 54601-3367 Ph: (608) 519-4452 |
NPI Number | 1609515865 |
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Provider Enumeration Date | 06/03/2022 |
Last Update Date | 08/31/2022 |
Medicare PECOS PAC ID | 8123402765 |
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Medicare Enrollment ID | O20220831002952 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609515865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Teresa M Pulvermacher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528350451 PECOS PAC ID: 3375729841 Enrollment ID: I20110517000810 |
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