NPI | 1871630947 |
---|---|
Doing Business As | CORNERSTONE HEALTHCARE OF ONALASKA |
Entity Type | Organization |
Authorized Contact | TESSIE M RENARD Vice President Of Operations 608-783-2470 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 500023) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |