Healthcare Provider Details

I. General information

NPI: 1861557803
Provider Name (Legal Business Name): THE MONROE CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 N SCHUYLER ST
LENA IL
61048-9621
US

IV. Provider business mailing address

515 22ND AVE
MONROE WI
53566-1569
US

V. Phone/Fax

Practice location:
  • Phone: 815-369-4541
  • Fax:
Mailing address:
  • Phone: 608-324-2770
  • Fax: 608-324-2469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number3771-042
License Number StateWI

VIII. Authorized Official

Name: JANE CURRAN-MUELI
Title or Position: PRESIDENT
Credential:
Phone: 608-324-2990