| Thomas W Lundquist, MD | |
|
1700 W Stout St, Rice Lake, WI 54868-5000 | |
| (715) 236-8100 | |
| Not Available |
| Full Name | Thomas W Lundquist |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1700 W Stout St, Rice Lake, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508976754 | NPI | - | NPPES |
| 30756600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27475 (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 | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W Lundquist, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Thomas W Lundquist, MD 1700 W Stout St, Rice Lake, WI 54868-5000 Ph: (715) 236-8100 |
William A Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Janice M Mcclelland, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
David J Henningsen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Dr. Susan J Frazier, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Beverly A. Kimball, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Courtney L Bork, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Lisa A Mink, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 |