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Organization

JOHN E ALEXANDER SOUTH WOOD COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA CONRAD (FINANCE DIRECTOR)
(715) 818-6016
Entity
Organization

Contact information

Practice address
211 WISCONSIN RIVER DR, PORT EDWARDS, WI 54469-1437
(715) 887-3240
(715) 887-3262
Mailing address
211 WISCONSIN RIVER DR, PORT EDWARDS, WI 54469-1437
(715) 887-3240
(715) 887-3262

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary

Other

Enumeration date
10/19/2016
Last updated
03/31/2017
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