| Viaro Llc | |
|
230 Pine St La Crosse WI 54601-3367 | |
| (608) 519-4452 | |
| (608) 420-6618 |
| Full Name | Viaro Llc |
|---|---|
| Speciality | General Practice |
| Location | 230 Pine St, La Crosse, Wisconsin |
| Authorized Official Name and Position | Cassie Marie Reisenauer (BILLING COORDINATOR) |
| Authorized Official Contact | 6085194452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Viaro Llc 333 Front St N La Crosse WI 54601-3220 Ph: (608) 519-4452 | Viaro Llc 230 Pine St La Crosse WI 54601-3367 Ph: (608) 519-4452 |
| NPI Number | 1609515865 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 08/31/2022 |
| Medicare PECOS PAC ID | 8123402765 |
|---|---|
| Medicare Enrollment ID | O20220831002952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609515865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Teresa M Pulvermacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528350451 PECOS PAC ID: 3375729841 Enrollment ID: I20110517000810 |
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