NPI 1568645604
Taylor County
Practice location
- Address
- 540 College Ave, Medford, WI 54451-2027
- Phone
- (715) 748-3332
- Fax
- (715) 748-3342
Authorised official
- Name
- Susan Hady
- Title
- Director
- Phone
- (715) 748-3332
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1568645604
- Entity type
- Organization
- NPI issued
- 12 Dec 2007
- Record last updated
- 19 Dec 2007
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.