Provider First Line Business Practice Location Address:
116 N MAIN ST
Provider Second Line Business Practice Location Address:
SHAWANO MEDICAL CENTER-REHAB SERVICES
Provider Business Practice Location Address City Name:
SHAWANO
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54166-2356
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-526-7370
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/09/2015