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Organization
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Active
Organization
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Active
Other names
University of Wisconsin Stout Student Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE LAWRENCE RAMAEKER (DIRECTOR/ADMINISTRATOR)
(715) 232-2114
Entity
Organization
Contact information
Practice address
103 1ST AVE W, MENOMONIE, WI 54751-1876
(715) 232-1314
Mailing address
103 1ST AVE W, MENOMONIE, WI 54751-1876
(715) 232-1314
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
34254-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32118900
—
WI
Enumeration date
03/10/2008
Last updated
12/04/2024
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