NPI 1174322846
La Clinica de Los Campesinos, INC
Practice location
- Address
- 400 S Townline Rd, Wautoma, WI 54982-6922
- Phone
- (920) 647-8984
- Fax
- (920) 647-8991
Authorised official
- Name
- Kellen Dorff
- Title
- Director of Pharmacy
- Phone
- (920) 647-8984
Registered specialties
Pharmacy
Primary
Registry record
- NPI
- 1174322846
- Entity type
- Organization
- NPI issued
- 13 Mar 2025
- Record last updated
- 17 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.