Menominee Indian Tribe of Wisconsin

NPI #1164618088 in Keshena, Wisconsin

Provider Information

NPI Number
1164618088
Entity Type
Organization
Organization Name
Menominee Indian Tribe of Wisconsin
Primary Specialty
Clinic/Center - Family Planning, Non-Surgical
Enumeration Date
Sep 25, 2007
Last Updated
Mar 11, 2009

Practice Location

Address
W3275 WOLF RIVER ROAD
ZIP Code
54135
Phone
(715) 799-3361

Authorized Official

Name
JERRY L WAUKAU SR.
Title
HEALTH ADMINISTRATOR
Phone
(715) 799-3361

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Family Planning, Non-SurgicalFamily Planning, Non-Surgical

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