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KREUSER CLINIC S C NPI 1992095970


NPI Information

NPI: 1992095970
Provider Name: KREUSER CLINIC S C
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 52D0941336

Address:
320 SUPERIOR AVE
WASHBURN, WI
ZIP 54891
Phone: (715) 373-0128
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KREUSER CLINIC S C is a clinic center in Washburn, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KREUSER CLINIC S C NPI is 1992095970. The provider is registered as an organization entity type.

The provider's business location address is:

320 SUPERIOR AVE
WASHBURN, WI
ZIP 54891-426
Phone: (715) 373-0128
Fax: (715) 373-0135

The provider's authorized official is Stephen Robert Kreuser .
The authorized official title is President and has the following contact phone number (715) 373-0128.

The CLIA number assigned to this NPI record is 52D0941336 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/12/2011 and was last updated on 12/8/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center26675WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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