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Organization

OAK LEAF SURGICAL HOSPITAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER BOYD BALDOCK (AO)
(615) 234-5935
Entity
Organization

Contact information

Practice address
1000 OAKLEAF WAY, ALTOONA, WI 54720-2246
(952) 653-2525
(952) 653-2540
Mailing address
1000 OAKLEAF WAY, ALTOONA, WI 54720-2246
(952) 653-2525
(952) 653-2540

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
07/20/2022
Last updated
07/20/2022
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