| Robert Wiedbusch, MD | |
|
3501 Golf Road, Eau Claire, WI 54701 | |
| (715) 858-4200 | |
| Not Available |
| Full Name | Robert Wiedbusch |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 3501 Golf Road, Eau Claire, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447345723 | NPI | - | NPPES |
| 34035100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 42861 (Wisconsin) | Primary |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Wiedbusch, MD 1000 N Oak Ave, Marshfield, WI 54449-5777 Ph: () - | Robert Wiedbusch, MD 3501 Golf Road, Eau Claire, WI 54701 Ph: (715) 858-4200 |
Camilla Michelle Nelson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
John J Plewa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-838-5222 | |
Dr. Brady J Hauser, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Uday Tiwari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Julia Kyle, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 431 E Clairemont Ave Ste D, Eau Claire, WI 54701 Phone: 715-828-9060 Fax: 715-514-2467 | |
Spoorthi Jagadish, Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Dr. Chetna Mangat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 |