| Pine Grove Family Practice Associates Ltd | |
|
3221 Stein Blvd Eau Claire WI 54701-4398 | |
| (715) 834-2788 | |
| (715) 858-3471 |
| Full Name | Pine Grove Family Practice Associates Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 3221 Stein Blvd, Eau Claire, Wisconsin |
| Authorized Official Name and Position | William Hanson (OWNER) |
| Authorized Official Contact | 7158342788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Grove Family Practice Associates Ltd 3221 Stein Blvd Eau Claire WI 54701-4398 Ph: (715) 834-2788 | Pine Grove Family Practice Associates Ltd 3221 Stein Blvd Eau Claire WI 54701-4398 Ph: (715) 834-2788 |
| NPI Number | 1053853960 |
|---|---|
| Provider Enumeration Date | 11/09/2016 |
| Last Update Date | 11/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053853960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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