Whalio Doctors

NPI 1407801236

Cmh Mountain Primary Care Clinic

Organisation Non-Pharmacy Dispensing Site Mountain, WI

Practice location

Address
13435 Weller Rd, Mountain, WI 54149-9482
Phone
(715) 276-1600
Fax
(715) 276-1800
Mailing address
855 S Main St, Oconto Falls, WI 54154-1241

Authorised official

Name
Greg Henn
Title
Clinic Manager
Phone
(920) 846-3440

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence 23967020 (WI)

Registry record

NPI
1407801236
Entity type
Organization
NPI issued
23 May 2006
Record last updated
12 Mar 2008

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.