Organization
MILE BLUFF CLINIC, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL FRONK (ADMINISTRATOR)
(608) 847-5000
Entity
Organization
Contact information
Practice address
402 WEST LAKE ST., FRIENDSHIP, WI 53934
(608) 339-3331
Mailing address
1040 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-5000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/15/2007
Last updated
02/26/2008
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