Organization
ASPIRUS WAUSAU HOSPITAL, INC.
Active
Other names
Aspirus Outpatient Therapies - Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERRY M YANG (SVP & CHIEF FINANCIAL OFFICER)
(715) 847-2526
Entity
Organization
Contact information
Practice address
3200 WESTHILL DR STE 100, WAUSAU, WI 54401-4706
(715) 843-1058
Mailing address
520 N 28TH AVE, WAUSAU, WI 54401-4101
(715) 843-1058
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083955165
—
WI
Enumeration date
03/14/2013
Last updated
06/11/2024
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