is a Clinic/center in La Crosse, Wisconsin. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for is 1336190941. The last update date is .
's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300. The mailing address for is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1336190941 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 546015429 |
| Phone Number | 6087827300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43062600 | WI | -- |
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