| NPI | 1295127082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS R LONGBELLA Director 715-836-9242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RC0200X Internal Medicine Critical Care Medicine | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RS0012X Internal Medicine Sleep Medicine | |
| 208000000X Pediatrics | |
| 363L00000X Nurse Practitioner | |
| 363LG0600X Nurse Practitioner Gerontology | |
| 133NN1002X Nutritionist Nutrition, Education | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2022-09-21 |