| NPI | 1497155808 |
|---|---|
| Doing Business As | FHC MENOMONIE DME |
| Entity Type | Organization |
| Authorized Contact | GREGORY R. NYCZ Director Of Family Health Center 715-387-9137 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2016-06-15 |