La Clinica De Los Campesinos, INC

NPI #1174322846 in Wautoma, Wisconsin

Provider Information

NPI Number: 1174322846
Entity Type: Organization
Organization Name: La Clinica De Los Campesinos, INC
Primary Specialty: Pharmacy
Enumeration Date: Mar 13, 2025
Last Updated: Jun 17, 2025

Practice Location

Address: 400 S TOWNLINE RD
City: Wautoma
State: Wisconsin
ZIP Code: 54982-6922
Phone: (920) 647-8984

Authorized Official

Name: KELLEN DORFF
Title: DIRECTOR OF PHARMACY
Phone: (920) 647-8984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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