| Lutheran Social Services Of Wisconsin And Upper Michigan, Inc. | |
|
414 Broadway St Ste 101 Baraboo WI 53913-2488 | |
| (608) 448-1011 | |
| (608) 355-4106 |
| Full Name | Lutheran Social Services Of Wisconsin And Upper Michigan, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 414 Broadway St Ste 101, Baraboo, Wisconsin |
| Authorized Official Name and Position | Tara Treglowne (COO) |
| Authorized Official Contact | 4142462300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Social Services Of Wisconsin And Upper Michigan, Inc. 727 8th St Baraboo WI 53913-1794 Ph: (608) 448-1011 | Lutheran Social Services Of Wisconsin And Upper Michigan, Inc. 414 Broadway St Ste 101 Baraboo WI 53913-2488 Ph: (608) 448-1011 |
| NPI Number | 1144995077 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 01/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144995077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Optimal Health And Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 South Blvd Ste C, Baraboo, WI 53913 Phone: 608-844-0496 | |
Ho Chunk Nation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: S2845 White Eagle Rd, Baraboo, WI 53913 Phone: 608-355-1240 Fax: 608-356-7122 | |
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