Organization
ASPIRUS GRAND VIEW SERVICE CORPORATION
Active
Other names
Aspirus Grand View Clinic DME
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMAINE CHIANTELLO (CFO)
(906) 932-2525
Entity
Organization
Contact information
Practice address
501 GRANITE ST, HURLEY, WI 54534-1372
(715) 561-2255
Mailing address
N10565 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41735200
—
WI
Enumeration date
08/18/2006
Last updated
11/15/2010
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