Red Cliff Band of Lake Superior Chippewa

NPI #1215095641 in Bayfield, Wisconsin

Provider Information

NPI Number: 1215095641
Entity Type: Organization
Organization Name: Red Cliff Band of Lake Superior Chippewa
Primary Specialty: Dentist
Enumeration Date: Dec 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 88385 PIKE RD
City: Bayfield
State: Wisconsin
ZIP Code: 54814-4818
Phone: (715) 779-3707

Authorized Official

Name: MS. PATRICIA A DERAGON-NAVARRO
Title: HEALTH ADMINISTRATOR
Phone: (715) 779-3707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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