Chippewa Valley Technical College

NPI 1093868358 - Dentist - 1223S0112X

NPI Details
NPI 1093868358
Enumeration Date 01/19/2007
Last Updated 04/19/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHELLY SHELLY
Position CAMPUS ADMINISTRATOR
Phone (715) 833-6271
Fax (715) 833-6447
Practice Location
620 W CLAIREMONT AVE
HEC 120
EAU CLAIRE WI, 54701-6120, US
Phone (715) 833-6271
Fax (715) 833-6447
Business Location
620 W. CLARIEMONT AVE
HEC 120
EAU CLAIRE WI, 54701, US
Phone (715) 833-6271
Fax (715) 833-6447
Toxanomy
Taxonomy Code 1223S0112X
License State
License Number
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According to our database, Chippewa Valley Technical College NPI is 1093868358, taxonomy code is 1223S0112X Chippewa Valley Technical College physically located at 620 W Clairemont Ave, Eau Claire WI, 54701-6120. NPI Number 1033115704 has the healthcare provider type.

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1093868358 NPI number is provided on an as is basis without warranty of any kind. 1093868358 is maintained by the National Plan & Provider Enumeration System. The contents of Chippewa Valley Technical College are for informational purposes only.