NPI | 1265977946 |
---|---|
Doing Business As | HSHS ST. JOSEPH'S WOUND CARE CLINIC |
Entity Type | Organization |
Authorized Contact | JOHN WAGNER CEO 715-717-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 15) |
Enumeration Date | 2017-01-04 |
Last Update Date | 2021-12-22 |