Organization
DICKINSON COUNTY HEALTHCARE SYSTEM
Active
Parent organization
MARSHFIELD CLINIC HEALTH SYSTEM INC
Other names
(INACTIVE) Wausaukee Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARSHFIELD CLINIC HEALTH SYSTEM INC
Authorized official
CHARLES NELSON (CEO)
(906) 776-5500
Entity
Organization
Contact information
Practice address
536 KENNY DR, WAUSAUKEE, WI 54177-9627
(877) 770-6983
(715) 856-6985
Mailing address
1000 N OAK AVE, ATTN: PROVIDER ENROLLMENT SERVICES - SHP FL 2, MARSHFIELD, WI 54449-5703
(715) 389-0660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/15/2006
Last updated
06/16/2022
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