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Organization

UNIVERSITY OF WISCONSIN STOUT

Active
Other names
UW Stout Student Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
JANICE RAMAEKER (DIRECTOR, SHS)
(715) 232-2114
Entity
Organization

Contact information

Practice address
103 1ST AVE W, MENOMONIE, WI 54751-1876
(715) 232-1314
(715) 232-2103
Mailing address
PO BOX 671205, DALLAS, TX 75267-1205
(866) 890-6390
(469) 735-4640

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363LA2200X
Adult Health Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner

Other

Enumeration date
12/06/2010
Last updated
12/06/2010
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