Organization
CAREATC - ANDES CANDIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GUCWA (DIRECTOR OF PURCHASING AND FACILITI)
(918) 779-7416
Entity
Organization
Contact information
Practice address
1400 E. EISCONSIN, DELAVAN, WI 53115
(918) 779-7416
(855) 346-7414
Mailing address
1400 E. EISCONSIN, DELAVAN, WI 53115
(918) 779-7416
(855) 346-7414
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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