| Drs. Anderson & Durtsche, Ltd. | |
|
615 10th St S La Crosse WI 54601-4768 | |
| (608) 784-7319 | |
| (608) 784-4384 |
| Full Name | Drs. Anderson & Durtsche, Ltd. |
|---|---|
| Speciality | Dentist |
| Location | 615 10th St S, La Crosse, Wisconsin |
| Authorized Official Name and Position | Timothy Brekke Durtsche (PRESIDENT) |
| Authorized Official Contact | 6087847319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Anderson & Durtsche, Ltd. 615 10th St S La Crosse WI 54601-4768 Ph: (608) 784-7319 | Drs. Anderson & Durtsche, Ltd. 615 10th St S La Crosse WI 54601-4768 Ph: (608) 784-7319 |
| NPI Number | 1932151685 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355352691 |
|---|---|
| Medicare Enrollment ID | O20060525000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932151685 | NPI | - | NPPES |
| 38365100 (BILLING #) | Medicaid | WI | |
| 33388200(PERFORMING) | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2244 (Wisconsin) | Primary |
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