Organization
WESTERN WISCONSIN MEDICAL ASSOC - NEW RICHMOND CLINIC, SC
Active
Other names
New Richmond Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS M SPANGENBERG (ADMINISTRATIVE ASSISTANT)
(715) 243-6973
Entity
Organization
Contact information
Practice address
551 HOSPITAL RD, NEW RICHMOND, WI 54017-1449
(715) 246-6911
(715) 246-8980
Mailing address
551 HOSPITAL RD, NEW RICHMOND, WI 54017-1449
(715) 246-6911
(715) 246-8980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32750100
—
WI
Enumeration date
08/13/2006
Last updated
10/01/2012
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