NPI 1629269899

T.D.C.

Organisation Physiological Laboratory Wausau, WI

Practice location

Address: 3000 Emery Dr, Wausau, WI 54401-9710
Phone: (715) 675-6771

Authorised official

Name: Jennifer Blahnik
Title: Supervisor
Phone: (715) 675-6771

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence 541-0001 (WI)

Other Physiological Laboratory providers in Wisconsin →

Registry record

NPI: 1629269899
Entity type: Organization
NPI issued: 5 Aug 2007
Record last updated: 5 Aug 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.