| Kreuser Clinic S C. | |
|
320 Superior Ave Washburn WI 54891-9426 | |
| (715) 373-0128 | |
| (715) 373-0135 |
| Full Name | Kreuser Clinic S C. |
|---|---|
| Speciality | Clinic/Center |
| Location | 320 Superior Ave, Washburn, Wisconsin |
| Authorized Official Name and Position | Stephen Robert Kreuser (PRESIDENT) |
| Authorized Official Contact | 7153730128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kreuser Clinic S C. 320 Superior Avenue Washburn WI 54891-9426 Ph: (715) 373-0128 | Kreuser Clinic S C. 320 Superior Ave Washburn WI 54891-9426 Ph: (715) 373-0128 |
| NPI Number | 1992095970 |
|---|---|
| Provider Enumeration Date | 04/12/2011 |
| Last Update Date | 06/20/2025 |
| Medicare PECOS PAC ID | 5496930430 |
|---|---|
| Medicare Enrollment ID | O20110506000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992095970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 26675 (Wisconsin) | Primary |
| Provider Name | Stephen R Kreuser |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366416539 PECOS PAC ID: 0345423554 Enrollment ID: I20110506000377 |
The Lakes Community Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Superior Ave Ste D, Washburn, WI 54891 Phone: 715-373-2233 Fax: 715-373-5530 |