Organization
CLARK COUNTY
Active
Other names
Clark County Public Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J LEISCHOW MPH (DIRECTOR)
(715) 743-5116
Entity
Organization
Contact information
Practice address
517 COURT ST, ROOM #105, NEILLSVILLE, WI 54456-1971
(715) 743-5105
Mailing address
517 COURT ST, ROOM #105, NEILLSVILLE, WI 54456-1971
(715) 743-5105
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41851500
—
WI
05
—
42006800
—
WI
05
—
44011000
—
WI
Enumeration date
02/19/2007
Last updated
04/25/2013
Update your record
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