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MENOMINEE INDIAN TRIBE OF WISCONSIN

Medical Equipment Supplier Yellow Pages

Keshena, Wisconsin

Provider NPI: 1972545010

Organization Information:
Organization Name:  MENOMINEE INDIAN TRIBE OF WISCONSIN


Practice Location:
W3275 WOLF RIVER ROAD  KESHENA, WI 54135 US
Tel: 715-799-3361  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0002XSuppliers
Pharmacy
Clinic Pharmacy
WI7848-042

Other Provider Identifiers:

IssuerNumberStateType
32955700WI05
NAPB #511844601
DEA #AM776341901
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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