1568404721 MENOMINEE INDIAN TRIBE OF WISCONSIN
Family Medicine Physician
Active
Basic Information
- Organization Name
- MENOMINEE INDIAN TRIBE OF WISCONSIN
- Enumeration Date
- June 12, 2006
- Last Update
- April 2, 2019
- Authorized Official
- JERRY L WAUKAU SR.
HEALTH ADMINISTRATOR
Phone: (715) 799-3361
Practice Location
- Address
- W3275 WOLF RIVER ROAD
KESHENA, WI 54135 - Phone
- (715) 799-3361
- Fax
- (715) 799-3099
Mailing Address
- Address
- PO BOX 970
KESHENA, WI 541350970 - Phone
- (715) 799-3361
- Fax
- (715) 799-3099
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | 261QF0400X | Clinic/Center | N/A | N/A | No |
| Family Medicine Physician | 207Q00000X | Family Medicine | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32955700 | 05 | WI | N/A |
Frequently Asked Questions
What is MENOMINEE INDIAN TRIBE OF WISCONSIN's NPI number?
MENOMINEE INDIAN TRIBE OF WISCONSIN's NPI number is 1568404721.
Which doctor has NPI number 1568404721?
The doctor with NPI number 1568404721 is MENOMINEE INDIAN TRIBE OF WISCONSIN.
What is MENOMINEE INDIAN TRIBE OF WISCONSIN's practice address?
MENOMINEE INDIAN TRIBE OF WISCONSIN's practice address is W3275 WOLF RIVER ROAD, KESHENA, WI, 54135.
Which doctor practices at W3275 WOLF RIVER ROAD, KESHENA, WI, 54135?
MENOMINEE INDIAN TRIBE OF WISCONSIN practices at W3275 WOLF RIVER ROAD, KESHENA, WI, 54135.
What is MENOMINEE INDIAN TRIBE OF WISCONSIN's mailing address?
MENOMINEE INDIAN TRIBE OF WISCONSIN's mailing address is PO BOX 970, KESHENA, WI, 541350970.
What is MENOMINEE INDIAN TRIBE OF WISCONSIN's phone number?
MENOMINEE INDIAN TRIBE OF WISCONSIN's phone number is (715) 799-3361.
Who is (715) 799-3361?
(715) 799-3361 is the phone number for MENOMINEE INDIAN TRIBE OF WISCONSIN.
What is MENOMINEE INDIAN TRIBE OF WISCONSIN's specialty?
MENOMINEE INDIAN TRIBE OF WISCONSIN's specialty is Family Medicine Physician.
What type of doctor is MENOMINEE INDIAN TRIBE OF WISCONSIN?
MENOMINEE INDIAN TRIBE OF WISCONSIN is a Family Medicine Physician.
Is MENOMINEE INDIAN TRIBE OF WISCONSIN a Family Medicine?
Yes, MENOMINEE INDIAN TRIBE OF WISCONSIN is a Family Medicine.
Is MENOMINEE INDIAN TRIBE OF WISCONSIN still practicing?
Yes, MENOMINEE INDIAN TRIBE OF WISCONSIN is currently practicing.
Is MENOMINEE INDIAN TRIBE OF WISCONSIN accepting new patients?
MENOMINEE INDIAN TRIBE OF WISCONSIN may be accepting new patients. Please call their office at (715) 799-3361 to inquire about availability.
Is NPI 1568404721 still active?
Yes, NPI 1568404721 is currently active.
Where does MENOMINEE INDIAN TRIBE OF WISCONSIN practice?
MENOMINEE INDIAN TRIBE OF WISCONSIN practices in KESHENA, WI.