| The Shullsburg Clinic | |
|
104 S Judgement St Shullsburg WI 53586-9549 | |
| (608) 965-4475 | |
| (608) 965-3186 |
| Full Name | The Shullsburg Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 104 S Judgement St, Shullsburg, Wisconsin |
| Authorized Official Name and Position | Lori L Neumann (PARTNER) |
| Authorized Official Contact | 6089654475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Shullsburg Clinic 104 S Judgement St P O Box 176 Shullsburg WI 53586-9549 Ph: (608) 965-4475 | The Shullsburg Clinic 104 S Judgement St Shullsburg WI 53586-9549 Ph: (608) 965-4475 |
| NPI Number | 1902982671 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 11/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902982671 | NPI | - | NPPES |
| 32701300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Lafayette County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 S Judgement St, Shullsburg, WI 53586 Phone: 608-965-4475 |