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Organization
ASPIRUS WAUSAU HOSPITAL, INC.
Active
Organization
ASPIRUS WAUSAU HOSPITAL, INC.
Active
Other names
Aspirus Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY YANG (SVP & CHIEF FINANCIAL OFFICER)
(715) 847-2526
Entity
Organization
Contact information
Practice address
425 PINE RIDGE BLVD STE 103, WAUSAU, WI 54401-4122
(715) 847-2547
(715) 847-2551
Mailing address
29980 NETWORK PL, CHICAGO, IL 60673-1299
(715) 847-2304
(715) 843-1188
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
9252-42
WI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588766505
—
WI
Enumeration date
09/01/2006
Last updated
07/22/2025
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