| NPI Details | |
|---|---|
| NPI | 1053503946 |
| Enumeration Date | 08/14/2007 |
| Last Updated | 09/20/2011 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | MARY ELIZABETH MARY |
| Position | WIC PROGRAM DIRECTOR |
| Phone | (715) 394-2750 |
| Fax | (715) 394-4651 |
| Practice Location | |
|---|---|
| 1805 N 14TH ST STE 4 SUPERIOR WI, 54880-8802, US |
|
| Phone | (715) 394-2750 |
| Fax | (715) 394-4651 |
| Business Location | |
|---|---|
| 1805 N 14TH ST STE 4 SUPERIOR WI, 54880-8802, US |
|
| Phone | (715) 394-2750 |
| Fax | (715) 394-4651 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 251B00000X |
| License State | |
| License Number | |
| Remove 1053503946 NPI Number | |
According to our database, Northwest Wisconsin Community Services Agency Inc. NPI is 1053503946, taxonomy code is 251B00000X Northwest Wisconsin Community Services Agency Inc. physically located at 1805 N 14th St Ste 4, Superior WI, 54880-8802. NPI Number 1033115704 has the healthcare provider type.
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1053503946 NPI number is provided on an as is basis without warranty of any kind. 1053503946 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Wisconsin Community Services Agency Inc. are for informational purposes only.
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