Oakleaf Clinics Sc
Obstetrics & Gynecology in Eau Claire, WI. Organization (NPI-2).
NPI number1891187696
StatusActive
Last updated in NPPESAug 15, 2018
Details
- NPI
- 1891187696
- Entity type
- Organization (NPI-2)
- Legal business name
- Oakleaf Clinics Sc
- Organization subpart
- Yes
- Enumeration date
- Mar 3, 2015
- Last updated
- Aug 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
| 207VG0400X | Obstetrics & Gynecology, Gynecology | – | – | |
| 207VX0000X | Obstetrics & Gynecology, Obstetrics | – | – |
Other names
- Oakleaf Clinics, Sc - Southside Ob-Gyn (Doing Business As)
Practice location
1110 Oak Ridge DrEau Claire, WI 54701
Phone 715-836-9242 · Fax 715-836-7847
Mailing address
719 W Hamilton Ave Ste BEau Claire, WI 54701-6970
Phone 715-552-9784 · Fax 715-835-6370
Authorized official
Julie M Smith
Credentialing Rep-Business Office
7159306560
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