Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Provisions Health

Organization Family Medicine Physician · NPI 1508875840

Provisions Health provides Family Medicine Physician services in Eau Claire, Wisconsin. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

2522 Golf Rd Ste 2
Eau Claire, WI 54701-6033
Phone: (715) 833-0660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 5101013727 (MI)

Record details

NPI number1508875840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Wiggins — Physician · (517) 346-7628
NPI enumeratedAugust 5, 2006
Last updated in NPPESDecember 11, 2022
Certification dateDecember 11, 2022
Mailing address9557 S Airport Rd, Dewitt, MI 48820-9104

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