Organization
ENT & ALLERGY ASSOCIATES, S.C.
Active
Organization
ENT & ALLERGY ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HINKER (ADMINISTRATOR)
(715) 847-2021
Entity
Organization
Contact information
Practice address
512 S 28TH AVE, WAUSAU, WI 54401-4147
(715) 847-2021
(715) 847-2325
Mailing address
512 S 28TH AVE, WAUSAU, WI 54401-4147
(715) 847-2021
(715) 847-2325
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32753400
—
WI
Enumeration date
05/18/2006
Last updated
02/19/2021
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