| University Clinicians Mini-clinic | |
|
133 E College Ave Ste C Appleton WI 54911-5710 | |
| (920) 470-7480 | |
| (920) 903-1452 |
| Full Name | University Clinicians Mini-clinic |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 133 E College Ave Ste C, Appleton, Wisconsin |
| Authorized Official Name and Position | Jude P Jean-pierre (CEO) |
| Authorized Official Contact | 9204707480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Clinicians Mini-clinic 133 E College Ave Appleton WI 54911-5710 Ph: (920) 470-7480 | University Clinicians Mini-clinic 133 E College Ave Ste C Appleton WI 54911-5710 Ph: (920) 470-7480 |
| NPI Number | 1740859347 |
|---|---|
| Provider Enumeration Date | 06/18/2021 |
| Last Update Date | 06/18/2021 |
| Certification Date | 06/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740859347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | () | Secondary |
| 261Q00000X | Clinic/center | () | Secondary |
| 261QH0100X | Clinic/center - Health Service | () | Primary |
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