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Organization
CUMBERLAND CLINIC SC
Active
Organization
CUMBERLAND CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R NELLI (ADMINISTRATOR)
(715) 822-2231
Entity
Organization
Contact information
Practice address
1475 WEBB ST, CUMBERLAND, WI 54829
(715) 822-2231
(715) 822-2023
Mailing address
1475 WEBB ST, PO BOX 127, CUMBERLAND, WI 54829
(715) 822-2231
(715) 822-2023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32742200
—
WI
Enumeration date
07/25/2006
Last updated
08/22/2020
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