Organization
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Active
Other names
University of Wisconsin Stout Student Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE LAWRENCE RAMAEKER (DIRECTOR/ADMINISTRATOR)
(715) 232-2114
Entity
Organization
Contact information
Practice address
103 1ST AVE W, MENOMONIE, WI 54751-1876
(715) 232-1314
Mailing address
103 1ST AVE W, MENOMONIE, WI 54751-1876
(715) 232-1314
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
34254-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32118900
—
WI
Enumeration date
03/10/2008
Last updated
12/04/2024
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