NPI

Birch Boutique LLC

NPI 1154045888

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2022-09-27
Last updated
2024-02-29

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
612 Clemont St, Ste #8
City
Antigo WI
Postal code
54409-1988
Phone
(715) 350-7174

Organization contact

Name
Greta Tomany
Title
Owner
Phone
(715) 350-7174

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Antigo, WI. 255 records in the public file.

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