NW Wisconsin Emergency Physicians LLC

NPI #1881930188 in Rice Lake, Wisconsin

Provider Information

NPI Number: 1881930188
Entity Type: Organization
Organization Name: NW Wisconsin Emergency Physicians LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Dec 14, 2012
Last Updated: Dec 24, 2013

Practice Location

Address: 1700 W STOUT ST
City: Rice Lake
State: Wisconsin
ZIP Code: 54868-5000
Phone: (715) 236-6291

Authorized Official

Name: JOSEPH GATEWOOD
Title: PRESIDENT
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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