St. Croix Regional Medical Center
NPI #1013423219 in Balsam Lake, Wisconsin
Provider Information
- NPI Number
- 1013423219
- Entity Type
- Organization
- Organization Name
- St. Croix Regional Medical Center
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Dec 26, 2017
- Last Updated
- Jan 25, 2023
Practice Location
- Address
- 1504 190TH AVE
- City
- Balsam Lake
- State
- Wisconsin
- ZIP Code
- 54810-7102
- Phone
- (715) 825-3278
Authorized Official
- Name
- MIKE YOUSO
- Title
- CFO
- Phone
- (715) 483-0553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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