Organization
ASPIRUS WAUSAU HOSPITAL, INC.
Active
Parent organization
ASPIRUS WAUSAU HOSPITAL, INC.
Other names
Aspirus Wound Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASPIRUS WAUSAU HOSPITAL, INC.
Authorized official
MR. LORI PECK (SVP- CHIEF FINANCIAL OFFICER)
(715) 847-2575
Entity
Organization
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2837
(715) 847-2286
Mailing address
29980 NETWORK PL, CHICAGO, IL 60673-1299
(715) 847-2304
(715) 843-1188
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
188
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
387565277001
BCBS
WI
05
—
43951200
—
WI
Enumeration date
05/24/2007
Last updated
02/26/2026
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