Pine Grove Family Practice Associates Ltd
NPI #1891869160 in Eau Claire, Wisconsin
Provider Information
- NPI Number
- 1891869160
- Entity Type
- Organization
- Organization Name
- Pine Grove Family Practice Associates Ltd
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3221 STEIN BLVD
- City
- Eau Claire
- State
- Wisconsin
- ZIP Code
- 54701-6930
- Phone
- (715) 834-2788
Authorized Official
- Name
- DR. WILLIAM R HANSON, DO
- Title
- PHYSICIAN OWNER
- Phone
- (715) 834-2788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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