Organization
ASPIRUS WAUSAU HOSPITAL, INC
Active
Other names
Aspirus Wound Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY M YANG (SVP & CHIEF FINANCIAL OFFICER)
(715) 847-2526
Entity
Organization
Contact information
Practice address
333 PINE RIDGE BLVD, SUITE 217, WAUSAU, WI 54401-4120
(715) 847-2387
Mailing address
29980 NETWORK PL, CHICAGO, IL 60673-1299
(715) 847-2304
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41258000
—
WI
Enumeration date
11/20/2006
Last updated
06/12/2024
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