Provider First Line Business Practice Location Address:
90 OAK STREET
Provider Second Line Business Practice Location Address:
SAUK PRAIRIE HEALTHCARE - WELLSPRING CAMPUS
Provider Business Practice Location Address City Name:
PRAIRIE DU SAC
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53578
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-643-7211
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/22/2025