The Farm Fresh Rd Llc | |
W2403 Fox Coulee Rd Nelson WI 54756-8000 | |
(715) 495-2398 | |
Not Available |
Full Name | The Farm Fresh Rd Llc |
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Speciality | Clinic/center - Community Health |
Location | W2403 Fox Coulee Rd, Nelson, Wisconsin |
Authorized Official Name and Position | Adrian A Leque (REGISTERED DIETITIAN) |
Authorized Official Contact | 7154952398 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Farm Fresh Rd Llc W2403 Fox Coulee Rd Nelson WI 54756-8000 Ph: (715) 495-2398 | The Farm Fresh Rd Llc W2403 Fox Coulee Rd Nelson WI 54756-8000 Ph: (715) 495-2398 |
NPI Number | 1659139129 |
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Provider Enumeration Date | 03/11/2024 |
Last Update Date | 03/11/2024 |
Identifier | Type | State | Issuer |
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1659139129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |