Western Wisconsin Medical Associates

NPI #1255324752 in River Falls, Wisconsin

Provider Information

NPI Number: 1255324752
Entity Type: Organization
Organization Name: Western Wisconsin Medical Associates
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Aug 30, 2005
Last Updated: Aug 14, 2014

Practice Location

Address: 1687 E DIVISION ST
City: River Falls
State: Wisconsin
ZIP Code: 54022-1571
Phone: (715) 425-6701

Authorized Official

Name: KERITH W LIJEWSKI, MD
Title: MEDICAL DIRECTOR
Phone: (715) 425-6701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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