| Hoffmann Clinic | |
|
199 S Division St Waupaca WI 54981-1582 | |
| (715) 942-2154 | |
| (715) 942-2156 |
| Full Name | Hoffmann Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 199 S Division St, Waupaca, Wisconsin |
| Authorized Official Name and Position | John Gregory Hoffmann (SOLE PROPRIETOR) |
| Authorized Official Contact | 7159422154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoffmann Clinic 199 S Division St Waupaca WI 54981-1582 Ph: (715) 942-2154 | Hoffmann Clinic 199 S Division St Waupaca WI 54981-1582 Ph: (715) 942-2154 |
| NPI Number | 1518136282 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 03/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518136282 | NPI | - | NPPES |
| 30628400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 26569 (Wisconsin) | Primary |
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