Organization
ASPIRUS WAUSAU HOSPITAL, INC
Active
Other names
Aspirus Wausau Hospital, Inc-WEMSA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY M YANG (SVP & CHIEF FINANCIAL OFFICER)
(715) 847-2526
Entity
Organization
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2121
(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
207P00000X
Emergency Medicine Physician
Primary
188
WI
282N00000X
General Acute Care Hospital
188
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32746900
—
WI
01
—
CT0928
RAILROAD MEDICARE
WI
Enumeration date
12/13/2006
Last updated
06/12/2024
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