Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-09-22
- Last updated
- 2020-08-22
Specialties
Licenses
- License WI
- 5001601-015
Location
- Practice location
- 2906 POST RD
- City
- STEVENS POINT WI
- Postal code
- 544816417
- Phone
- 715-345-7770
Organization contact
- Name
- COREY DIKE
- Title
- PRESIDENT
- Phone
- 7152527777
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
Search this city from the state hub for other records in the public registry.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.