Stockbridge Munsee Community

NPI #1629070180 in Bowler, Wisconsin

Provider Information

NPI Number
1629070180
Entity Type
Organization
Organization Name
Stockbridge Munsee Community
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 15, 2005
Last Updated
Mar 25, 2025

Practice Location

Address
W12802 CTY RD A
City
Bowler
ZIP Code
54416
Phone
(715) 793-4144

Authorized Official

Name
MR. WALLACE A. MILLER
Title
TRIBAL CHAIRMAN
Phone
(715) 793-4111

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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