Pathway Clinic Sc

NPI 1043228505 - Counselor - 101YA0400X

NPI Details
NPI 1043228505
Enumeration Date 08/03/2006
Last Updated 10/07/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SANDRA MAY SANDRA
Position OFFICE MANAGER
Phone (608) 643-3663
Fax (608) 643-5014
Practice Location
560 4TH ST
PRAIRIE DU SAC WI, 53578-1136, US
Phone (608) 643-3663
Fax (608) 643-5014
Business Location
560 4TH ST
PRAIRIE DU SAC WI, 53578-1136, US
Phone (608) 643-3663
Fax (608) 643-5014
Toxanomy
Taxonomy Code 101YA0400X
License State Wisconsin
License Number 1729
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According to our database, Pathway Clinic Sc NPI is 1043228505, taxonomy code is 101YA0400X and license number is 1729, license state is located at Wisconsin. Pathway Clinic Sc physically located at 560 4th St, Prairie Du Sac WI, 53578-1136. NPI Number 1033115704 has the healthcare provider type.

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1043228505 NPI number is provided on an as is basis without warranty of any kind. 1043228505 is maintained by the National Plan & Provider Enumeration System. The contents of Pathway Clinic Sc are for informational purposes only.