Organization
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Active
Other names
University of Wisconsin-Stout
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CRAGIN (NURSE PRACTITIONER)
(715) 232-1314
Entity
Organization
Contact information
Practice address
103 1ST AVE W, MENOMONIE, WI 54751-1876
(715) 232-1314
Mailing address
103 1ST AVE W, MENOMONIE, WI 54751-1876
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
89592-030
WI
Other
Enumeration date
10/16/2008
Last updated
12/04/2024
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