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Organization

ACCESS ALLIANCE, LLC

Active
Parent organization
ACCESS ALLIANCE
Other names
Access Doctors Alliance
Organization subpart
Yes

Provider details

NPI number
Legal business name
ACCESS ALLIANCE
Authorized official
YASMIN YUSUF MD (MEDICAL DIRECTOR AND CEO)
(608) 443-9111
Entity
Organization

Contact information

Practice address
1545 SUNRISE RD, OREGON, WI 53575-2421
(608) 443-9111
Mailing address
1545 SUNRISE RD, OREGON, WI 53575-2421

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
43432-020
WI
207Q00000X
Family Medicine Physician
Primary
43432-020
WI
261Q00000X
Clinic/Center
43432-020
WI

Other

Enumeration date
10/17/2010
Last updated
10/17/2010
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