Wausau Aviation Medicine Services | |
915 Woods Place Wausau WI 54403-7074 | |
(715) 675-5371 | |
(715) 675-5381 |
Full Name | Wausau Aviation Medicine Services |
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Speciality | Family Medicine |
Location | 915 Woods Place, Wausau, Wisconsin |
Authorized Official Name and Position | Glenn Brigham Burt (OWNER) |
Authorized Official Contact | 7156755371 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wausau Aviation Medicine Services Po Box 477 Wausau WI 54402-0477 Ph: (715) 675-5371 | Wausau Aviation Medicine Services 915 Woods Place Wausau WI 54403-7074 Ph: (715) 675-5371 |
NPI Number | 1356486369 |
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Provider Enumeration Date | 02/20/2007 |
Last Update Date | 03/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356486369 | NPI | - | NPPES |
21286900 | Medicaid | WI | |
201533595018 | Other | WI | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27936 (Wisconsin) | Primary |
Spine & Brain Group Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2800 Westhill Dr, Suite 200, Wausau, WI 54401 Phone: 715-843-1000 Fax: 715-843-1001 |