Wausau Podiatry Center Ltd

LBN: Wausau Podiatry Center Ltd
Wausau Podiatry Center Ltd is an health care organization with primary practice located at 115 W Bridge St , Wausau WI 54401-2929. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Wausau Podiatry Center Ltd can be contacted via phone (715) 842-4288, or through Juvonen, Anders V via phone (715) 842-4288.

Contact Information

Primary practice address
115 W Bridge St Wausau WI 54401-2929
Fax: (715) 842-2162
Website:
Authorized official contact:
Name: Juvonen, Anders V DMP

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 437 Wisconsin

Profile Details

NPI number 1093963456
LBN Legal business name Wausau Podiatry Center Ltd
DBA Doing business as
Authorized official Juvonen, Anders V DMP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2008
Last updated Aug 28th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093963456 NPPES
Wisconsin MEDICAID 43241200

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