Organization
ASPIRUS MEDICAL GROUP, INC.
Active
Parent organization
ASPIRUS MEDICAL GROUP, INC.
Other names
Aspirus Land O Lakes Clinic, Aspirus Clinics, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASPIRUS MEDICAL GROUP, INC.
Authorized official
LORI PECK (VP REVENUE CYCLE)
(715) 847-2988
Entity
Organization
Contact information
Practice address
4348 HIGHWAY B, UNIT B, LAND O LAKES, WI 54540
(715) 547-6118
Mailing address
29980 NETWORK PL, CHICAGO, IL 60673-1299
(715) 847-2304
(715) 843-1188
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21264600
—
WI
Enumeration date
11/01/2006
Last updated
11/16/2020
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