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Thomas Eric Herzog Inc
Clinic/Center in Spooner, Wisconsin
NPI 1902887508

Thomas Eric Herzog Inc is a Clinic/Center based in Spooner, WI. Thomas Eric Herzog Inc practices in Spooner, WI. The NPI Number for Thomas Eric Herzog Inc is 1902887508 and holds a License No. (Wisconsin).

The current practice location address for Thomas Eric Herzog Inc is W7164 Green Valley Rd, Spooner, WI and can be reached out via phone at 715-635-3127 and via fax at 715-635-3316.

Location: W7164 Green Valley Rd, Spooner, WI, 54801-0446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902887508
Provider Name
Thomas Eric Herzog Inc
Credential
Provider Entity Type
Organization
Address
W7164 Green Valley Rd, Spooner, WI, 54801-0446
Phone Number
715-635-3127
Fax Number
715-635-3316
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DG1708 01 WI PALMETTO RR MEDICARE
38711400 05 WI
institution
Provider Business Practice Location Address Details
Address
W7164 Green Valley Rd
City
Spooner
State
Wisconsin
Zip
54801-6605
Phone Number
715-635-3127
Fax Number
715-635-3316
person
Provider Business Mailing Address Details
Address
W7164 Green Valley Rd
City
Spooner
State
Wisconsin
Zip
54801-6605
Phone Number
715-635-3127
Fax Number
715-635-3316
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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