County Of Trempealeau

Specialty details in registry · Independence, WI

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At a glance

W21011 State Road 121, Independence, WI 54747

NPPES record updated Apr 15, 2021. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

W21011 State Road 121
Independence, WI 54747
Professional details: NPI, taxonomy & registry record
NPI1790817641
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
311ZA0620X
Enumeration date
Mar 9, 2007
Record updated
Apr 15, 2021
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

311ZA0620X · Primary

License reported: 11601 WI

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

W21011 State Road 121
Independence, WI 54747
Phone
(715) 985-3673
Mailing address
W20410 STATE ROAD 121

WHITEHALL, WI 547739147
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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