| Organization Name: | MONROE CLINIC |
| NPI Number: | 1003148677 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRITTNEY MARGARET HANSEN (ATHLETIC TRAINER) |
| Mailing Address: | 515 22nd Avenue Monroe |
| State: | WI US |
| Postal Code: | 535661569 |
| Phone Number: | 6083242000 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2010 |
| NPI Last Update Date: | 02/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 1128-39 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |