# OAKLEAF CLINICS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oakleaf Clinics, SC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679870315
- **Authorized official:** DR. CHRIS R LONGBELLA MD (DIRECTOR)
- **Authorized official phone:** (715) 836-9242

## Contact information

- **Practice address:** 3213 STEIN BLVD, EAU CLAIRE, WI 54701-6946
- **Practice address phone:** (715) 836-9242
- **Practice address fax:** (715) 836-7847
- **Mailing address:** 719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
- **Mailing address phone:** (715) 552-9784
- **Mailing address fax:** (715) 835-6370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/15/2011
- **Last updated:** 09/21/2022