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Organization
OAKLEAF CLINICS INC
Active
Organization
OAKLEAF CLINICS INC
Active
Parent organization
OAKLEAF CLINICS SC
Other names
Oakleaf Clinics, Southside Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAKLEAF CLINICS SC
Authorized official
DR. CHRIS R LONGBELLA MD (DIRECTOR)
(715) 836-9242
Entity
Organization
Contact information
Practice address
714 W HAMILTON AVE, EAU CLAIRE, WI 54701-6937
(715) 830-9990
(715) 830-9995
Mailing address
719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
(715) 552-9784
(715) 835-6370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/03/2015
Last updated
09/21/2022
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