Organization
PINE GROVE FAMILY PRACTICE ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HANSON D.O. (OWNER)
(715) 834-2788
Entity
Organization
Contact information
Practice address
3221 STEIN BLVD, EAU CLAIRE, WI 54701-4398
(715) 834-2788
(715) 858-3471
Mailing address
3221 STEIN BLVD, EAU CLAIRE, WI 54701-4398
(715) 834-2788
(715) 858-3471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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