Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2010-04-21
- Last updated
- 2021-12-01
Licenses
The registry row did not include a license.
Location
- Practice location
- 5110N US HIGHWAY 51
- City
- MERCER WI
- Postal code
- 545478900
- Phone
- 715-476-2345
Organization contact
- Name
- CATHERINE BUKOWSKI
- Title
- CFO - Finance Operations
- Phone
- 7153879370
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.