Organization
PARK FALLS REGIONAL MEDICAL CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY S HARRISON M.D. (PRESIDENT)
(715) 762-2970
Entity
Organization
Contact information
Practice address
1155 4TH AVE S, PARK FALLS, WI 54552-1922
(715) 762-2970
(715) 762-2975
Mailing address
1155 4TH AVE S, PARK FALLS, WI 54552-1922
(715) 762-2970
(715) 762-2975
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21306000
—
WI
Enumeration date
11/08/2006
Last updated
09/07/2012
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