| Red Cliff Band Of Lake Superior Chippewa | |
|
88385 Pike Rd Bayfield WI 54814-4818 | |
| (715) 779-3707 | |
| (715) 779-3777 |
| Full Name | Red Cliff Band Of Lake Superior Chippewa |
|---|---|
| Speciality | Dentist |
| Location | 88385 Pike Rd, Bayfield, Wisconsin |
| Authorized Official Name and Position | Patricia A Deragon-navarro (HEALTH ADMINISTRATOR) |
| Authorized Official Contact | 7157793707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Cliff Band Of Lake Superior Chippewa Po Box 529 Bayfield WI 54814-0529 Ph: (715) 779-4707 | Red Cliff Band Of Lake Superior Chippewa 88385 Pike Rd Bayfield WI 54814-4818 Ph: (715) 779-3707 |
| NPI Number | 1215095641 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215095641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |