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SUNRISE FAMILY CARE CLINIC SC NPI 1316257967


NPI Information

NPI: 1316257967
Provider Name: SUNRISE FAMILY CARE CLINIC SC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 52D2007599

Address:
2829 COUNTY HIGHWAY I
SUITE 2
CHIPPEWA FALLS, WI
ZIP 54729
Phone: (715) 726-3096
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SUNRISE FAMILY CARE CLINIC SC is a family medicine in Chippewa Falls, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUNRISE FAMILY CARE CLINIC SC NPI is 1316257967. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2829 COUNTY HIGHWAY I
SUITE 2
CHIPPEWA FALLS, WI
ZIP 54729
Phone: (715) 726-3096
Fax: (715) 726-3979

The provider's authorized official is Mary Landwehr .
The authorized official title is Owner/ Practioner and has the following contact phone number (715) 726-3096.

The CLIA number assigned to this NPI record is 52D2007599 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2010 and was last updated on 10/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine45925-020WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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