Organization
MARSHFIELD CLINIC
Active
Parent organization
MARSHFIELD CLINIC
Other names
Marshfield Clinic Wisconsin Rapids Orthopedic Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARSHFIELD CLINIC
Authorized official
DR. DAVID J. SIMENSTAD MD (MEDICAL DIRECTOR REIMBURSEMENT)
(715) 387-5511
Entity
Organization
Contact information
Practice address
410 DEWEY ST, RIVERVIEW MEDICAL CENTER - WEST BUILDING, WISCONSIN RAPIDS, WI 54495-8075
(715) 421-5257
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32728400
—
WI
Enumeration date
01/11/2012
Last updated
09/28/2012
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