| Aspirus Medical Group, Inc. | |
|
4348 Highway B Unit B Land O Lakes WI 54540 | |
| (715) 547-6118 | |
| Not Available |
| Full Name | Aspirus Medical Group, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 4348 Highway B, Land O Lakes, Wisconsin |
| Authorized Official Name and Position | Lori Peck (VP REVENUE CYCLE) |
| Authorized Official Contact | 7158472988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspirus Medical Group, Inc. 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Medical Group, Inc. 4348 Highway B Unit B Land O Lakes WI 54540 Ph: (715) 547-6118 |
| NPI Number | 1851478952 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 11/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851478952 | NPI | - | NPPES |
| 21264600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Wisconsin) | Primary |
Ascension Sacred Heart - St Mary's Hospitals, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4348 Hwy B, Unit B, Land O Lakes, WI 54540 Phone: 715-547-6118 Fax: 715-547-6647 |