Organization
ASPIRUS DOCTORS CLINIC
Active
Parent organization
ASPIRUS DOCTORS CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASPIRUS DOCTORS CLINIC
Authorized official
FORREST DEAN DANNER JR. (DIRECTOR)
(715) 847-2975
Entity
Organization
Contact information
Practice address
420 DEWEY STREET, WISCONSIN RAPIDS, WI 54494
(715) 423-0122
Mailing address
PO BOX 8040, WISCONSIN RAPIDS, WI 54495-8040
(715) 423-0122
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21293000
—
WI
Enumeration date
10/02/2006
Last updated
07/16/2009
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