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425 Pine Ridge Blvd Suite 209 Wausau WI 54401-4123 | |
(715) 847-0400 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 425 Pine Ridge Blvd, Wausau, Wisconsin |
Authorized Official Name and Position | F Dean Danner (VP COO) |
Authorized Official Contact | 7158472975 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1223 Wausau WI 54402-1223 Ph: (715) 847-2304 | 425 Pine Ridge Blvd Suite 209 Wausau WI 54401-4123 Ph: (715) 847-0400 |
NPI Number | 1487837035 |
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Provider Enumeration Date | 12/06/2007 |
Last Update Date | 12/14/2007 |
Identifier | Type | State | Issuer |
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1487837035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (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 |