Organization
MEDICAL ASSOCIATES OF NEILLSVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY PROFFITT (PRACTICE MANAGER)
(715) 819-1044
Entity
Organization
Contact information
Practice address
1105 E DIVISION ST, NEILLSVILLE, WI 54456-2122
(715) 819-1044
(715) 819-1045
Mailing address
1105 E DIVISION ST, NEILLSVILLE, WI 54456-2122
(715) 819-1044
(715) 819-1045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49204
WI
Other
Enumeration date
04/08/2013
Last updated
07/12/2013
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