Organization
CORNERSTONE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE PRINCE (BUSINESS MANAGER)
(715) 600-2798
Entity
Organization
Contact information
Practice address
2831 POST RD STE 300, PLOVER, WI 54467-3415
(715) 600-2798
(715) 504-1987
Mailing address
2831 POST RD STE 300, PLOVER, WI 54467-3415
(715) 600-2798
(715) 600-5182
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
01/20/2025
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