Organization
COUNTY OF WAUSHARA
Active
Other names
WAUSHARA COUNTY HEALTH DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L PULVERMACHER (FINANCIAL MANAGER)
(920) 787-6590
Entity
Organization
Contact information
Practice address
230 W. PARK STREET, WAUTOMA, WI 54982
(920) 787-6590
(920) 787-6511
Mailing address
230 W. PARK STREET, PO BOX 837, WAUTOMA, WI 54982
(920) 787-6590
(920) 787-6511
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41851100
—
WI
05
—
43080000
—
WI
05
—
44013400
—
WI
Enumeration date
04/17/2008
Last updated
08/12/2019
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