Wausau Aviation Medicine Services

NPI #1356486369 in Wausau, Wisconsin

Provider Information

NPI Number: 1356486369
Entity Type: Organization
Organization Name: Wausau Aviation Medicine Services
Primary Specialty: Family Medicine
Enumeration Date: Feb 20, 2007
Last Updated: Mar 15, 2016

Practice Location

Address: 915 WOODS PLACE
City: Wausau
State: Wisconsin
ZIP Code: 54403-7074
Phone: (715) 675-5371

Authorized Official

Name: DR. GLENN BRIGHAM BURT III, M.D.
Title: OWNER
Phone: (715) 675-5371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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