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Organization
HSHS WISCONSIN MEDICAL GROUP INC
Active
Organization
HSHS WISCONSIN MEDICAL GROUP INC
Active
Other names
Family Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA J DUTTERTIO MBA (PRACTICE ADMINISTRATOR)
(715) 723-9138
Entity
Organization
Contact information
Practice address
2509 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-1422
(715) 723-9138
Mailing address
2509 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-1422
(715) 723-9138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011030
MEDICARE
WI
01
—
1235144031
NPI NUMBER JILL HASENBERG
WI
01
—
1245233287
NPI NUMBER KRISTIE GERING
WI
01
—
1386609915
NPI STEVEN STEINMETZ
—
01
—
1730182809
NPI NUMBER PAUL IPPEL
WI
01
—
1861495913
NPI NUMBER ROBERT LEA
WI
05
—
32803100
—
WI
Enumeration date
08/30/2006
Last updated
02/16/2015
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