| Great River Community Medical Clinic Sc | |
|
100 N Marquette Rd Suite 106 Prairie Du Chien WI 53821 | |
| (608) 326-1072 | |
| (608) 326-1076 |
| Full Name | Great River Community Medical Clinic Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 N Marquette Rd, Prairie Du Chien, Wisconsin |
| Authorized Official Name and Position | Mark A Grunwald (PRESIDENT) |
| Authorized Official Contact | 6083265459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great River Community Medical Clinic Sc 100 N Marquette Rd Suite 106 Prairie Du Chien WI 53821 Ph: (608) 326-1072 | Great River Community Medical Clinic Sc 100 N Marquette Rd Suite 106 Prairie Du Chien WI 53821 Ph: (608) 326-1072 |
| NPI Number | 1659539203 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 10/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659539203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23379 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 23439 (Wisconsin) | Primary |
Mayo Clinic Health System-southwest Wisconsin Region, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 E Blackhawk Ave, Prairie Du Chien, WI 53821 Phone: 608-326-0808 | |
Pdc Hospitalist Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37868 Us Highway 18, Prairie Du Chien, WI 53821 Phone: 307-638-0300 Fax: 307-638-0394 | |
Prairie Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37868 Us Highway 18, Prairie Du Chien, WI 53821 Phone: 702-453-3799 Fax: 702-453-5741 | |
Prairie Medicine Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 S Beaumont Rd, Prairie Du Chien, WI 53821 Phone: 608-326-6402 Fax: 608-326-6404 | |
Prairie Du Chien Area School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 S Wacouta Ave, Prairie Du Chien, WI 53821 Phone: 608-326-8451 Fax: 608-326-0000 | |
Prairie Du Chien Memorial Hospital Association, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37868 Us Highway 18, Prairie Du Chien, WI 53821 Phone: 608-357-2000 Fax: 608-357-2254 | |
Pisang Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37868 Us Highway 18, Prairie Du Chien, WI 53821 Phone: 702-453-3799 Fax: 702-453-5741 |