Organization
GROUP HEALTH COOPERATIVE OF EAU CLAIRE
Active
Other names
Group Health Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER FARROW (GENERAL MANAGER)
(715) 552-4300
Entity
Organization
Contact information
Practice address
3110 CRAIG RD, EAU CLAIRE, WI 54701-6186
(715) 552-7227
Mailing address
3110 CRAIG RD, EAU CLAIRE, WI 54701-6186
(715) 552-7227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/28/2006
Last updated
10/31/2007
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