Organization
MARSHFIELD CLINIC
Active
Parent organization
MARSHFIELD CLINIC
Other names
Marshfield Clinic Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARSHFIELD CLINIC
Authorized official
DAVID J SIMENSTAD MD (MEDICAL DIRECTOR REIMBURSEMENT)
(715) 387-5511
Entity
Organization
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32959000
—
WI
05
—
41758600
—
WI
Enumeration date
11/21/2006
Last updated
03/08/2010
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