Organization
ST. CROIX WOMEN'S CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EILEEN REARDON (PRESIDENT)
(715) 381-9566
Entity
Organization
Contact information
Practice address
1610 MAXWELL DR, SUITE 200, HUDSON, WI 54016-8709
(715) 381-9566
(715) 381-9588
Mailing address
1610 MAXWELL DR, SUITE 200, HUDSON, WI 54016-8709
(715) 381-9566
(715) 381-9588
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
39295
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32338100
—
WI
05
—
773132900MN
—
MN
Enumeration date
05/19/2006
Last updated
03/17/2010
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