Pine Grove Family Practice Associates Ltd | |
3221 Stein Blvd Eau Claire WI 54701-4398 | |
(715) 834-2788 | |
(715) 858-3471 |
Full Name | Pine Grove Family Practice Associates Ltd |
---|---|
Speciality | Family Medicine |
Location | 3221 Stein Blvd, Eau Claire, Wisconsin |
Authorized Official Name and Position | William Hanson (OWNER) |
Authorized Official Contact | 7158342788 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pine Grove Family Practice Associates Ltd 3221 Stein Blvd Eau Claire WI 54701-4398 Ph: (715) 834-2788 | Pine Grove Family Practice Associates Ltd 3221 Stein Blvd Eau Claire WI 54701-4398 Ph: (715) 834-2788 |
NPI Number | 1053853960 |
---|---|
Provider Enumeration Date | 11/09/2016 |
Last Update Date | 11/09/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053853960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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