| Birchwood Family Medicine, Llc | |
|
101 West Loomis Street Suite A Birchwood WI 54817 | |
| (715) 202-6782 | |
| (715) 800-1982 |
| Full Name | Birchwood Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 West Loomis Street, Birchwood, Wisconsin |
| Authorized Official Name and Position | Kristen Marjorie Dall-winther (OWNER/CEO) |
| Authorized Official Contact | 7152026782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birchwood Family Medicine, Llc Po Box 2 Birchwood WI 54817-0002 Ph: (715) 202-6782 | Birchwood Family Medicine, Llc 101 West Loomis Street Suite A Birchwood WI 54817 Ph: (715) 202-6782 |
| NPI Number | 1285470724 |
|---|---|
| Provider Enumeration Date | 07/03/2024 |
| Last Update Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285470724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
The Lakes Community Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 S Main St, Birchwood, WI 54817 Phone: 715-354-3369 Fax: 715-354-7158 |