| Practice Partners Healthcare Group, S.c. | |
|
1434 Thelen Farm Trl Houlton WI 54082-2062 | |
| (941) 870-2120 | |
| (941) 328-3595 |
| Full Name | Practice Partners Healthcare Group, S.c. |
|---|---|
| Speciality | General Practice |
| Location | 1434 Thelen Farm Trl, Houlton, Wisconsin |
| Authorized Official Name and Position | Lincoln Likness (PRESIDENT) |
| Authorized Official Contact | 9418702120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Practice Partners Healthcare Group, S.c. 1434 Thelen Farm Trl Houlton WI 54082-2062 Ph: (941) 870-2120 | Practice Partners Healthcare Group, S.c. 1434 Thelen Farm Trl Houlton WI 54082-2062 Ph: (941) 870-2120 |
| NPI Number | 1952846982 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 12/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952846982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |