Provider First Line Business Practice Location Address:
2655 COUNTY HIGHWAY I
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHIPPEWA FALLS
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54729-1423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-726-4200
Provider Business Practice Location Address Fax Number:
715-726-4173
Provider Enumeration Date:
11/27/2006