Organization
WAUSAUKEE SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN DOOLEY (DISTRICT ADMINISTRATOR)
(715) 856-5151
Entity
Organization
Contact information
Practice address
N11941 US HIGHWAY 141, WAUSAUKEE, WI 54177-9300
(715) 856-5151
Mailing address
N11941 US HIGHWAY 141, PO BOX 258, WAUSAUKEE, WI 54177-9300
(715) 856-5151
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44241300
MEDICAID BILLING PROVIDER
WI
Enumeration date
04/08/2008
Last updated
04/08/2008
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