| Park Hill Clinic, Sc | |
|
111 Anna St Waterloo WI 53594-1184 | |
| (920) 478-3776 | |
| (920) 478-3979 |
| Full Name | Park Hill Clinic, Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 111 Anna St, Waterloo, Wisconsin |
| Authorized Official Name and Position | Marlys Schmidt (CCO) |
| Authorized Official Contact | 9204783776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Hill Clinic, Sc 111 Anna St Waterloo WI 53594-1184 Ph: (920) 478-3776 | Park Hill Clinic, Sc 111 Anna St Waterloo WI 53594-1184 Ph: (920) 478-3776 |
| NPI Number | 1760409536 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760409536 | NPI | - | NPPES |
| P37 | Other | WI | DEAN HEALTH CARE PCP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Uwhp Wrmc Waterloo Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Anna St, Waterloo, WI 53594 Phone: 920-478-3776 Fax: 920-478-3979 |