Provider First Line Business Practice Location Address:
2829 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:
54729-2652
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-588-2268
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/31/2026