NPI 1871731737
Marquette Chemical Dependency Service
Practice location
- Address
- N3829 State Road 22, Montello, WI 53949-9049
- Phone
- (608) 297-2085
- Fax
- (608) 297-2426
- Mailing address
- N3829 State Road 22 PO Box 57, Montello, WI 53949-9049
Authorised official
- Name
- Bruce Nicholas
- Title
- Supervisor for McDs
- Phone
- (608) 441-0204
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1871731737
- Entity type
- Organization
- NPI issued
- 30 Jan 2009
- Record last updated
- 30 Jan 2009
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.