Provisions Health
NPI #1508875840 in Eau Claire, Wisconsin
Provider Information
- NPI Number
- 1508875840
- Entity Type
- Organization
- Organization Name
- Provisions Health
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 5, 2006
- Last Updated
- Dec 11, 2022
Practice Location
- Address
- 2522 GOLF RD STE 2
- City
- Eau Claire
- State
- Wisconsin
- ZIP Code
- 54701-6033
- Phone
- (715) 833-0660
Authorized Official
- Name
- SHANNON WIGGINS, D.O.
- Title
- PHYSICIAN
- Phone
- (517) 346-7628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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