Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

NPI #1629091004 in Osseo, Wisconsin

Provider Information

NPI Number: 1629091004
Entity Type: Organization
Organization Name: Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.
Primary Specialty: Pharmacy
Enumeration Date: Jul 26, 2006
Last Updated: Aug 20, 2025

Practice Location

Address: 13025 8TH ST STE 1
City: Osseo
State: Wisconsin
ZIP Code: 54758-7634
Phone: (715) 597-3166

Authorized Official

Name: MARK BORTNEM
Title: CFO
Phone: (715) 838-5270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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