Mainstreet Clinic Sc

NPI #1134137557 in Ashland, Wisconsin

Provider Information

NPI Number
1134137557
Entity Type
Organization
Organization Name
Mainstreet Clinic Sc
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Aug 3, 2006
Last Updated
Jul 21, 2022

Practice Location

Address
1001 MAIN ST W
ZIP Code
54806-1307
Phone
(715) 682-5601

Authorized Official

Name
KARYL L DEWITT
Title
ADMINISTRATOR
Phone
(715) 682-5601

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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