Chippewa Valley Neuromonitoring, Llc | |
950 W Clairemont Ave Eau Claire WI 54701-6192 | |
(715) 831-0811 | |
(715) 831-0802 |
Full Name | Chippewa Valley Neuromonitoring, Llc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 950 W Clairemont Ave, Eau Claire, Wisconsin |
Authorized Official Name and Position | Jon P Konzen (MEMBER) |
Authorized Official Contact | 7158310811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chippewa Valley Neuromonitoring, Llc 950 W Clairemont Ave Eau Claire WI 54701-6192 Ph: (715) 831-0811 | Chippewa Valley Neuromonitoring, Llc 950 W Clairemont Ave Eau Claire WI 54701-6192 Ph: (715) 831-0811 |
NPI Number | 1326441841 |
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Provider Enumeration Date | 09/29/2014 |
Last Update Date | 09/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326441841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 37138021 (Wisconsin) | Primary |
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