Western Wisconsin Ear, Nose & Throat Center, S.C.
Otolaryngology in Eau Claire, WI. Organization (NPI-2).
NPI number1174535751
StatusActive
Last updated in NPPESJan 13, 2010
Details
- NPI
- 1174535751
- Entity type
- Organization (NPI-2)
- Legal business name
- Western Wisconsin Ear, Nose & Throat Center, S.C.
- Organization subpart
- No
- Enumeration date
- Aug 12, 2006
- Last updated
- Jan 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 27186 | WI | Yes |
Practice location
2119 Heights DrEau Claire, WI 54701-6130
Phone 715-831-0289 · Fax 715-831-4722
Mailing address
2119 Heights DrEau Claire, WI 54701-6130
Phone 715-831-0289 · Fax 715-831-4722
Authorized official
Richard T Crane
President
7158310289
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