Mgm-Eastview

NPI #1780030064 in Antigo, Wisconsin

Provider Information

NPI Number
1780030064
Entity Type
Organization
Organization Name
Mgm-Eastview
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 5, 2016
Last Updated
May 5, 2016

Practice Location

Address
729 PARK ST
City
Antigo
ZIP Code
54409-2745
Phone
(715) 623-2356

Authorized Official

Name
TINA BRANDT
Title
REHAB TECH
Phone
(715) 623-2356

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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