NPI Provider: 1396741252
Contact Name: Krueger M. Corina
Position: Accts. Rec./Billing
Phone: (920) 842-2191
The Woodlands Of Oconto Information:
The Woodlands Of Oconto organization have npi 1396741252, taxonomy code is 314000000X with license number is 5009 in . This Business address located in 430 Manor Dr, Suring, WI 54174 Wisconsin.
Practice Location
Address: 101 1st St, Oconto, WI 54153
Phone: (920) 834-4575
Business Location
Address: 430 Manor Dr, Suring, WI 54174
Phone: (920) 842-2191
Fax: (920) 842-2176
Taxonomy
Taxonomy Code: 314000000X
License Number: 5009
License Number of State: WI
Primary Taxonomy Switch: Y
Enumeration Date: 6/24/2005
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