Organization
KLASINSKI CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHASE L BEHRENDT MBA (ADMINISTRATOR)
(715) 344-2164
Entity
Organization
Contact information
Practice address
500 VINCENT ST, STEVENS POINT, WI 54481-1848
(715) 344-0701
(715) 344-4494
Mailing address
500 VINCENT ST, STEVENS POINT, WI 54481-1848
(715) 344-0701
(715) 344-4494
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
0917050001
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30670500
—
WI
05
—
31827000
—
WI
05
—
32144600
—
WI
05
—
32166500
—
WI
05
—
42969800
—
WI
05
—
42986500
—
WI
01
—
CP7737
PALMETTO GBA-RR MEDICARE
WI
Enumeration date
06/02/2006
Last updated
02/19/2014
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