Organization
PRAIRIE CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LINDLOFF (ASSISTANT CLINIC MANAGER)
(608) 643-3351
Entity
Organization
Contact information
Practice address
112 HELEN ST, SAUK CITY, WI 53583
(608) 643-3351
(608) 643-3621
Mailing address
112 HELEN ST, SAUK CITY, WI 53583
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0593600001
DME
WI
Enumeration date
05/09/2007
Last updated
08/22/2020
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