MID WISCONSIN EAR NOSE & THROAT PROFESSIONALS NPI 1366778250

NPI Information

  • NPI: 1366778250
  • Provider Name: MID WISCONSIN EAR, NOSE & THROAT PROFESSIONALS
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Organization
  • Address: 2600 RIB MOUNTAIN DR
    SUITE 200
    WAUSAU, WI
    ZIP 54401
  • Phone: (715) 845-2423

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NPI Details

MID WISCONSIN EAR, NOSE & THROAT PROFESSIONALS is a facial plastic surgery otolaryngology in Wausau, WI. The provider is an otolaryngologist who specializes in facial plastic surgery. MID WISCONSIN EAR, NOSE & THROAT PROFESSIONALS NPI is 1366778250. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2600 RIB MOUNTAIN DR
SUITE 200
WAUSAU, WI
ZIP 54401-196
Phone: (715) 845-2423
Fax: (715) 845-6768

The provider's authorized official is Ian Richard Swift .
The authorized official title is Owner and has the following contact phone number (715) 845-2423.

The enumeration date for this NPI number is 10/27/2009 and was last updated on 6/8/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YS0123XOtolaryngologyFacial Plastic Surgery37345WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11881631802OTHERWISCONSINNPI

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: 3/30/2025

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