Organization
PATRIOT HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON DELONG (OWNER)
(715) 495-0404
Entity
Organization
Contact information
Practice address
W2058 SPRING CREEK RD, DURAND, WI 54736-8107
(715) 495-0404
Mailing address
PO BOX 13, WABASHA, MN 55981-0013
(715) 279-3956
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/18/2024
Last updated
01/06/2025
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