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Organization

HSHS WISCONSIN MEDICAL GROUP INC

Active
Other names
Family Health Associates
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA J DUTTERTIO MBA (PRACTICE ADMINISTRATOR)
(715) 723-9138
Entity
Organization

Contact information

Practice address
2509 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-1422
(715) 723-9138
Mailing address
2509 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-1422
(715) 723-9138

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000011030
MEDICARE
WI
01
1235144031
NPI NUMBER JILL HASENBERG
WI
01
1245233287
NPI NUMBER KRISTIE GERING
WI
01
1386609915
NPI STEVEN STEINMETZ
01
1730182809
NPI NUMBER PAUL IPPEL
WI
01
1861495913
NPI NUMBER ROBERT LEA
WI
05
32803100
WI
Enumeration date
08/30/2006
Last updated
02/16/2015
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