| Mile Bluff Medical Center | |
|
901 W Bridge St New Lisbon WI 53950-1083 | |
| (608) 562-3111 | |
| Not Available |
| Full Name | Mile Bluff Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 901 W Bridge St, New Lisbon, Wisconsin |
| Authorized Official Name and Position | Timothy Bjelland (VP, CMO) |
| Authorized Official Contact | 6088479826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mile Bluff Medical Center 901 W Bridge St New Lisbon WI 53950-1083 Ph: (608) 562-3111 | Mile Bluff Medical Center 901 W Bridge St New Lisbon WI 53950-1083 Ph: (608) 562-3111 |
| NPI Number | 1427413483 |
|---|---|
| Provider Enumeration Date | 12/17/2015 |
| Last Update Date | 12/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427413483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 6726-33 (Wisconsin) | Primary |