Organization
NORTHERNBRIDGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MCMAHON (CEO)
(715) 934-2266
Entity
Organization
Contact information
Practice address
15954 RIVERS EDGE DR, SUITE #300, HAYWARD, WI 54843-7887
(715) 934-2266
(715) 934-2268
Mailing address
15954 RIVERS EDGE DR, SUITE #300, HAYWARD, WI 54843-7887
(715) 934-2266
(715) 934-2268
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
69009009
WI
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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