| University Of Wisconsin System Non Payroll | |
|
103 1st Ave W Menomonie WI 54751-1876 | |
| (715) 232-1314 | |
| Not Available |
| Full Name | University Of Wisconsin System Non Payroll |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 103 1st Ave W, Menomonie, Wisconsin |
| Authorized Official Name and Position | Janice Lawrence Ramaeker (DIRECTOR/ADMINISTRATOR) |
| Authorized Official Contact | 7152322114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Wisconsin System Non Payroll 103 1st Ave W Menomonie WI 54751-1876 Ph: (715) 232-1314 | University Of Wisconsin System Non Payroll 103 1st Ave W Menomonie WI 54751-1876 Ph: (715) 232-1314 |
| NPI Number | 1558531251 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558531251 | NPI | - | NPPES |
| 32118900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | 34254-020 (Wisconsin) | Primary |
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