| Lac Du Flambeau Band Of Lake Superior Chippewa Indians | |
|
3378 N. Schilleman Rd Lac Du Flambeau WI 54538-0815 | |
| (715) 388-0762 | |
| (715) 588-1889 |
| Full Name | Lac Du Flambeau Band Of Lake Superior Chippewa Indians |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3378 N. Schilleman Rd, Lac Du Flambeau, Wisconsin |
| Authorized Official Name and Position | Pamela Ahlborn (COMPLIANCE & CONTRACT COORDINATOR) |
| Authorized Official Contact | 7155884422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lac Du Flambeau Band Of Lake Superior Chippewa Indians Po Box 815 Lac Du Flambeau WI 54538-0815 Ph: (715) 588-4422 | Lac Du Flambeau Band Of Lake Superior Chippewa Indians 3378 N. Schilleman Rd Lac Du Flambeau WI 54538-0815 Ph: (715) 388-0762 |
| NPI Number | 1669970729 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 09/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669970729 | NPI | - | NPPES |
Lac Du Flambeau Band Of Lake Superior Chippewa Indians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Old Abe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-4466 Fax: 715-588-2269 |