NPI Details | |
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NPI | 1053503946 |
Enumeration Date | 08/14/2007 |
Last Updated | 09/20/2011 |
Entity Type | Healthcare Provider |
Active | Over 10 years ago |
Authorized Information | |
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Name | MARY ELIZABETH MARY |
Position | WIC PROGRAM DIRECTOR |
Phone | (715) 394-2750 |
Fax | (715) 394-4651 |
Practice Location | |
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1805 N 14TH ST STE 4 SUPERIOR WI, 54880-8802, US |
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Phone | (715) 394-2750 |
Fax | (715) 394-4651 |
Business Location | |
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1805 N 14TH ST STE 4 SUPERIOR WI, 54880-8802, US |
|
Phone | (715) 394-2750 |
Fax | (715) 394-4651 |
Toxanomy | |
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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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