Organization
WESTERN WISCONSIN EAR, NOSE & THROAT CENTER, S.C.
Active
Organization
WESTERN WISCONSIN EAR, NOSE & THROAT CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD T CRANE MD (PRESIDENT)
(715) 831-0289
Entity
Organization
Contact information
Practice address
2119 HEIGHTS DR, EAU CLAIRE, WI 54701-6130
(715) 831-0289
(715) 831-4722
Mailing address
2119 HEIGHTS DR, EAU CLAIRE, WI 54701-6130
(715) 831-0289
(715) 831-4722
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
27186
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30834500
—
WI
Enumeration date
08/12/2006
Last updated
01/13/2010
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