Mayo Clinic Health System-Southwest Wisconsin Region, Inc.

NPI #1194703512 in Lacrosse, Wisconsin

Provider Information

NPI Number: 1194703512
Entity Type: Organization
Organization Name: Mayo Clinic Health System-Southwest Wisconsin Region, Inc.
Primary Specialty: Pharmacy
Enumeration Date: Jan 5, 2006
Last Updated: Jan 9, 2024

Practice Location

Address: 700 WEST AVENUE SOUTH
City: Lacrosse
State: Wisconsin
ZIP Code: 54601
Phone: (608) 791-9724

Authorized Official

Name: MARK BORTNEM
Title: CHIEF FINANCIAL OFFICER
Phone: (715) 838-5270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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