Organization
ST. CLARE HEALTH MISSION OF MONROE COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH SUEVDENS M.D (MEDICAL DIRECTOR)
(608) 366-5343
Entity
Organization
Contact information
Practice address
310 WEST MAIN STREET, SPARTA, WI 54656-2142
(608) 366-5343
Mailing address
310 WEST MAIN STREET, SPARTA, WI 54656-2142
(608) 366-5343
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
04/01/2020
Last updated
04/02/2020
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