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Organization

MARSHFIELD CLINIC

Active
Parent organization
MARSHFIELD CLINIC
Other names
Marshfield Clinic Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARSHFIELD CLINIC
Authorized official
DR. DAVID J. SIMENSTAD MD (MEDICAL DIRECTOR REIMBURSEMENT)
(715) 387-5511
Entity
Organization

Contact information

Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8103
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
8825
WI
332B00000X
Durable Medical Equipment & Medical Supplies
8825
WI

Other

Enumeration date
08/21/2009
Last updated
03/08/2010
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