Organization
BELOIT CLINIC, S.C.
Active
Other names
Occupational Health
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH GRAY (ASSISTANT ADMINISTRATOR)
(608) 364-1348
Entity
Organization
Contact information
Practice address
1650 LEE LN, BELOIT, WI 53511-3935
(608) 364-1348
(608) 364-2338
Mailing address
1905 E HUEBBE PKWY, BELOIT, WI 53511-1842
(608) 364-1348
(608) 364-2338
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
32834
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32808500
—
WI
Enumeration date
03/20/2007
Last updated
08/22/2020
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