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Organization
EXCELREHAB & SPINE CENTER, INC.
Active
Organization
EXCELREHAB & SPINE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HEBERT (OWNER, OFFICE MANAGER)
(715) 358-1929
Entity
Organization
Contact information
Practice address
8554 HWY 51 NORTH, UNIT 6/7, MINOCQUA, WI 54548
(715) 358-1929
(715) 356-4031
Mailing address
PO BOX 11, MINOCQUA, WI 54548-0011
(715) 358-1929
(715) 356-4031
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41232500
—
WI
Enumeration date
08/29/2006
Last updated
04/17/2009
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