NPI Provider: 1588631691
Contact Name: Dornfeld C Dennis
Position: Director
Phone: (715) 258-6334
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County Of Waupaca Information:
County Of Waupaca organization have npi 1588631691, taxonomy code is 101YM0800X with license number is 1977 in . This Business address located in 811 Harding St, Waupaca, WI 54981 Wisconsin.
Practice Location
Address: 811 Harding St, Waupaca, WI 54981
Phone: (715) 258-6362
Business Location
Address: 811 Harding St, Waupaca, WI 54981
Fax: (715) 258-6409
Taxonomy
Taxonomy Code: 101YM0800X
License Number: 1977
License Number of State: WI
Primary Taxonomy Switch: X
Enumeration Date: 3/7/2006
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