Cleveland Va Cboc

NPI #1154337558 in Cleveland, Wisconsin

Provider Information

NPI Number
1154337558
Entity Type
Organization
Organization Name
Cleveland Va Cboc
Primary Specialty
Clinic/Center
Enumeration Date
Jul 31, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1205 NORTH AVE
ZIP Code
53015-1413
Phone
(188) 469-6614

Authorized Official

Name
AGNES E. DEEHR
Title
LPN
Phone
(920) 693-5600

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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