| GL Holmen Clinic | |
|
500 N Holmen Dr Ste 502 Holmen WI 54636-7301 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | GL Holmen Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 N Holmen Dr Ste 502, Holmen, Wisconsin |
| Authorized Official Name and Position | Kari B Adank (CCO) |
| Authorized Official Contact | 6087758025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| GL Holmen Clinic 1836 South Ave La Crosse WI 54601-5429 Ph: (608) 782-7300 | GL Holmen Clinic 500 N Holmen Dr Ste 502 Holmen WI 54636-7301 Ph: (608) 782-7300 |
| NPI Number | 1891233839 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 08/06/2021 |
| Medicare PECOS PAC ID | 9638082779 |
|---|---|
| Medicare Enrollment ID | O20170612000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891233839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
Holmen Chiropractic Wellness Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 State St, Holmen, WI 54636 Phone: 608-526-3244 |