| NPI | 1508200791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON KAY PELLATT Director Of Wellness Services 715-832-9467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |