Organization Name: | MARSHFIELD CLINIC |
NPI Number: | 1033363262 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID J. SIMENSTAD (MEDICAL DIRECTOR REIMBURSEMENT) |
Mailing Address: | 12961 27th Ave Chippewa Falls |
State: | WI US |
Postal Code: | 54729 |
Phone Number: | 7157383710 |
Fax Number: | |
NPI Enumeration Date: | 11/14/2008 |
NPI Last Update Date: | 03/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0002X |
License Number: | 8894 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Clinic Pharmacy |
Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |