Organization
DEERFIELD CARE CENER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN CORCORAN (ADMINISTRATOR)
(715) 243-3933
Entity
Organization
Contact information
Practice address
575 HOSPITAL ROAD, NEW RICHMOND, WI 54017
(715) 243-3930
Mailing address
1127 W 8TH ST, NEW RICHMONDD, WI 54017-1467
(715) 243-3930
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
522626
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001122
—
WI
Enumeration date
04/23/2013
Last updated
04/23/2013
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