Organization
PRAIRIE DU CHIEN AREA SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI WALLER (DISTRICT BOOKKEEPER)
(608) 326-8451
Entity
Organization
Contact information
Practice address
420 S WACOUTA AVE, PRAIRIE DU CHIEN, WI 53821-1924
(608) 326-8451
(608) 326-0000
Mailing address
420 S WACOUTA AVE, PRAIRIE DU CHIEN, WI 53821-1924
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44204000
—
WI
Enumeration date
04/14/2008
Last updated
04/14/2008
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