Urology Clinic, Sc

NPI #1235311556 in Stevens Point, Wisconsin

Provider Information

NPI Number: 1235311556
Entity Type: Organization
Organization Name: Urology Clinic, Sc
Primary Specialty: Urology
Enumeration Date: Nov 28, 2007
Last Updated: Apr 7, 2010

Practice Location

Address: 500 VINCENT ST
Address 2: SUITE D
City: Stevens Point
State: Wisconsin
ZIP Code: 54481-1848
Phone: (715) 295-9939

Authorized Official

Name: JOHN R. FULLER, M.D.
Title: OWNER
Phone: (715) 295-9939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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