| NPI | 1487212486 |
|---|---|
| Other Name | ASCENSION ST MICHAEL'S AT ILLINOIS AVE |
| Entity Type | Organization |
| Authorized Contact | LORI PECK VP Revenue Cycle 715-847-2988 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2021-10-19 |