| NPI | 1568743714 |
|---|---|
| Doing Business As | DBA PIONEER PLACE |
| Entity Type | Organization |
| Authorized Contact | KRISTA MENDYKE President 715-343-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |