Aspirus Doctors Clinic, INC

NPI #1861701450 in Medford, Wisconsin

Provider Information

NPI Number: 1861701450
Entity Type: Organization
Organization Name: Aspirus Doctors Clinic, INC
Subpart: Yes (part of a larger organization)
Parent Organization: ASPIRUS DOCTORS CLINIC, INC
Primary Specialty: Clinic/Center
Enumeration Date: Sep 29, 2010
Last Updated: Sep 29, 2010

Practice Location

Address: 135 S GIBSON ST
City: Medford
State: Wisconsin
ZIP Code: 54451-1622
Phone: (715) 748-2121

Authorized Official

Name: FORREST DEAN DANNER JR.
Title: VP/COO
Phone: (715) 847-2975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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