| Grant Regional Family Practice | |
|
507 S Monroe St Lancaster WI 53813-2054 | |
| (608) 723-3293 | |
| (608) 723-3281 |
| Full Name | Grant Regional Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 507 S Monroe St, Lancaster, Wisconsin |
| Authorized Official Name and Position | Nicole Clapp (CEO) |
| Authorized Official Contact | 6087233200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Regional Family Practice 507 S Monroe St Lancaster WI 53813-2054 Ph: (608) 723-3293 | Grant Regional Family Practice 507 S Monroe St Lancaster WI 53813-2054 Ph: (608) 723-3293 |
| NPI Number | 1750331807 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 10/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750331807 | NPI | - | NPPES |
| 32765000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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