Organization
ASPIRUS MEDICAL GROUP, INC.
Active
Parent organization
ASPIRUS MEDICAL GROUP, INC.
Other names
Aspirus Three 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
6951 S MICHIGAN ST, THREE LAKES, WI 54562-9281
(715) 546-2543
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
01
—
0212750019
DMERC POS
WI
05
—
21300800
—
WI
Enumeration date
10/09/2006
Last updated
11/16/2020
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