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Organization
OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C.
Active
Organization
OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRFANE M. KHATIB M.D. (PRESIDENT)
(715) 836-9020
Entity
Organization
Contact information
Practice address
1110 OAK RIDGE DR, EAU CLAIRE, WI 54701-6133
(715) 836-9020
(715) 834-9833
Mailing address
1110 OAK RIDGE DR, EAU CLAIRE, WI 54701-6133
(715) 836-9020
(715) 834-9833
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
WI
207VX0000X
Obstetrics Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31066700
—
WI
Enumeration date
12/10/2006
Last updated
09/11/2025
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