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Organization
LA CLINICA DE LOS CAMPESINOS, INC
Active
Organization
LA CLINICA DE LOS CAMPESINOS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN BENDER (ENROLLMENT AND CONTRACT SPECIALIST)
(920) 787-9459
Entity
Organization
Contact information
Practice address
2719 CALUMET AVE, MANITOWOC, WI 54220-5546
(920) 395-2980
(920) 783-6804
Mailing address
PO BOX 1440, WAUTOMA, WI 54982-1440
(920) 395-2980
(920) 783-6804
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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