NPI 1942331467
Stockbridge Munsee Community
Practice location
- Address
- W12802 County Road a, Bowler, WI 54416-0086
- Phone
- (715) 793-4144
- Fax
- (715) 793-4120
Authorised official
- Name
- Robert Chicks
- Title
- President
- Phone
- (715) 793-4111
Registered specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1942331467
- Entity type
- Organization
- NPI issued
- 8 Mar 2007
- Record last updated
- 4 Dec 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.