| Aspirus Wisconsin Rapids Clinic - Dewey Street | |
|
420 Dewey St Wisconsin Rapids WI 54494-4714 | |
| (715) 422-7750 | |
| Not Available |
| Full Name | Aspirus Wisconsin Rapids Clinic - Dewey Street |
|---|---|
| Speciality | Clinic/Center |
| Location | 420 Dewey St, Wisconsin Rapids, Wisconsin |
| Authorized Official Name and Position | Lori Peck (SVP- CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7158472575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspirus Wisconsin Rapids Clinic - Dewey Street 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Wisconsin Rapids Clinic - Dewey Street 420 Dewey St Wisconsin Rapids WI 54494-4714 Ph: (715) 422-7750 |
| NPI Number | 1568821122 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 07/15/2026 |
| Certification Date | 07/15/2026 |
| Medicare PECOS PAC ID | 4587658182 |
|---|---|
| Medicare Enrollment ID | O20170411000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568821122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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