Menominee Indian Tribe of Wisconsin
NPI #1972545010 in Keshena, Wisconsin
Provider Information
- NPI Number
- 1972545010
- Entity Type
- Organization
- Organization Name
- Menominee Indian Tribe of Wisconsin
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Mar 7, 2023
Practice Location
Authorized Official
- Name
- JERRY L WAUKAU SR.
- Title
- HEALTH ADMINISTRATOR
- Phone
- (715) 799-3361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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