| Marc R Durette, MD | |
|
1630 Chippewa Dr, Rhinelander, WI 54501-9503 | |
| (715) 365-5256 | |
| (715) 365-5258 |
| Full Name | Marc R Durette |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1630 Chippewa Dr, Rhinelander, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174628895 | NPI | - | NPPES |
| 31572600 | Medicaid | WI | |
| 250006587 | Other | WI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 28830 (Wisconsin) | Primary |
| Entity Name | Aspirus Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003021452 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc R Durette, MD 1630 N. Chippewa Dr, Rhinelander, WI 54501-9503 Ph: (715) 365-5256 | Marc R Durette, MD 1630 Chippewa Dr, Rhinelander, WI 54501-9503 Ph: (715) 365-5256 |
Hongjing Tan, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1020 Kabel Ave, Rhinelander, WI 54501 Phone: 715-361-4700 |
Benjamin Brusch, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 444 E Timber Dr, Rhinelander, WI 54501 Phone: 715-361-4700 |
Shawn Robert Gavrilescu, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 900 Boyce Dr, Rhinelander, WI 54501 Phone: 715-365-6832 |