Provider First Line Business Practice Location Address:
LAC COURTE OREILLES COMMUNITY HEALTH CENTER
Provider Second Line Business Practice Location Address:
13380 W TREPANIA ROAD
Provider Business Practice Location Address City Name:
HAYWARD
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54843
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-638-5100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2007