| Clear Path Clinic SC | |
|
26 Phipps Ave Rice Lake WI 54868 | |
| (705) 434-1058 | |
| (715) 434-1068 |
| Full Name | Clear Path Clinic SC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 26 Phipps Ave, Rice Lake, Wisconsin |
| Authorized Official Name and Position | Robert J Abatecola (PRESIDENT) |
| Authorized Official Contact | 7154341058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Path Clinic SC 26 Phipps Ave Rice Lake WI 54868 Ph: (705) 434-1058 | Clear Path Clinic SC 26 Phipps Ave Rice Lake WI 54868 Ph: (705) 434-1058 |
| NPI Number | 1215778576 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 05/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215778576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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