| Oakleaf Clinics, Southside Medical Clinic | |
|
714 W Hamilton Ave Eau Claire WI 54701-6937 | |
| (715) 830-9990 | |
| (715) 830-9995 |
| Full Name | Oakleaf Clinics, Southside Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 714 W Hamilton Ave, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Chris R Longbella (DIRECTOR) |
| Authorized Official Contact | 7158369242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakleaf Clinics, Southside Medical Clinic 719 W Hamilton Ave Ste B Eau Claire WI 54701-6970 Ph: (715) 552-9784 | Oakleaf Clinics, Southside Medical Clinic 714 W Hamilton Ave Eau Claire WI 54701-6937 Ph: (715) 830-9990 |
| NPI Number | 1306238191 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 09/21/2022 |
| Certification Date | 08/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306238191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
Jenifer I Bassett MD SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 W Hamilton Ave, Eau Claire, WI 54701 Phone: 715-830-9990 Fax: 715-830-9995 |
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Thomas P Peller MD SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 W Hamilton Ave, Eau Claire, WI 54701 Phone: 715-830-9990 Fax: 715-830-9995 |