NPI | 1336818608 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY M YANG SVP & Chief Financial Officer 715-847-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QR1300X Clinic/Center, Rural Health | |
Enumeration Date | 2021-09-09 |
Last Update Date | 2024-06-10 |