Pine Grove Family Practice Associates Ltd
NPI #1053853960 in Eau Claire, Wisconsin
Provider Information
- NPI Number
- 1053853960
- Entity Type
- Organization
- Organization Name
- Pine Grove Family Practice Associates Ltd
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 9, 2016
- Last Updated
- Nov 9, 2016
Practice Location
- Address
- 3221 STEIN BLVD
- City
- Eau Claire
- State
- Wisconsin
- ZIP Code
- 54701-4398
- Phone
- (715) 834-2788
Authorized Official
- Name
- WILLIAM HANSON, D.O.
- Title
- OWNER
- Phone
- (715) 834-2788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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