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Organization
UNIVERSITY OF WISCONSIN STOUT
Active
Organization
UNIVERSITY OF WISCONSIN STOUT
Active
Other names
UW Stout Student Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE RAMAEKER (DIRECTOR, SHS)
(715) 232-2114
Entity
Organization
Contact information
Practice address
103 1ST AVE W, MENOMONIE, WI 54751-1876
(715) 232-1314
(715) 232-2103
Mailing address
PO BOX 671205, DALLAS, TX 75267-1205
(866) 890-6390
(469) 735-4640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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