Organization
UROLOGY CLINIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R. FULLER M.D. (OWNER)
(715) 295-9939
Entity
Organization
Contact information
Practice address
500 VINCENT ST, SUITE D, STEVENS POINT, WI 54481-1848
(715) 295-9939
(715) 295-9946
Mailing address
PO BOX 8031, APPLETON, WI 54912-8031
(920) 996-1345
(920) 739-0124
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
36770-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32166500
—
WI
Enumeration date
11/28/2007
Last updated
04/07/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us