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Organization
UPLAND HILLS HEALTH, INC.
Active
Organization
UPLAND HILLS HEALTH, INC.
Active
Other names
Upland Hills Health Clinic - Montfort
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS A FRITSCH (PRESIDENT/CEO)
(608) 930-8000
Entity
Organization
Contact information
Practice address
202 W US HIGHWAY 18, MONTFORT, WI 53569-9452
(608) 943-6308
(608) 943-8408
Mailing address
202 W US HIGHWAY 18, MONTFORT, WI 53569-9452
(608) 943-6308
(608) 943-8408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WI1085
MEDICARE PTAN
WI
Enumeration date
11/20/2012
Last updated
11/20/2012
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