Organization
RI-LEE MEDICAL STAFFING, INC.
Active
Other names
Fogarty Surgical Services and Family Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PATRICK FOGARTY M.D. (CEO)
(715) 455-3124
Entity
Organization
Contact information
Practice address
902 W MAIN ST, CAMERON, WI 54822-4910
(715) 458-3124
(715) 458-3125
Mailing address
PO BOX 144, CAMERON, WI 54822-0144
(715) 458-3124
(715) 458-3125
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
1845
WI
363L00000X
Nurse Practitioner
1673
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21288500
—
WI
Enumeration date
10/18/2006
Last updated
01/28/2022
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