Breast Center of Central Wisconsin, SC
Breast Center of Central Wisconsin, SC provides Surgery Physician services in Wausau, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
1506 Pine View LnWausau, WI 54403-2361 Not confirmed with CMS for 15 years — call before visiting
Phone: (715) 675-1177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 45139 (WI) |
|---|
Record details
| NPI number | 1548451230 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pamela Galloway — Officer · (715) 675-1177 |
| NPI enumerated | August 7, 2007 |
| Last updated in NPPES | August 7, 2011 |
| Mailing address | 1506 Pine View Ln, Wausau, WI 54403-2361 |
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