Oneida Nation

NPI #1740278308 in Oneida, Wisconsin

Provider Information

NPI Number: 1740278308
Entity Type: Organization
Organization Name: Oneida Nation
Primary Specialty: Clinic/Center
Enumeration Date: Oct 7, 2005
Last Updated: Dec 3, 2020

Practice Location

Address: 525 AIRPORT DR
City: Oneida
State: Wisconsin
ZIP Code: 54155-9035
Phone: (920) 869-2711

Authorized Official

Name: DEBRA DANFORTH, RN,BSN
Title: COMPREHENSIVE HEALTH OPERATIONS MAN
Phone: (920) 869-4807

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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