Healthcare Provider Details

I. General information

NPI: 1164449831
Provider Name (Legal Business Name): HEARING CLINICS OF WISCONSIN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 12/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 W SPENCER ST SUITE 31
APPLETON WI
54914-9106
US

IV. Provider business mailing address

PO BOX 1382
WAUSAU WI
54402-1382
US

V. Phone/Fax

Practice location:
  • Phone: 920-738-1819
  • Fax:
Mailing address:
  • Phone: 715-675-7766
  • Fax: 715-675-8886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN A KRAUSE
Title or Position: VICE PRESIDENT/CO-OWNER
Credential:
Phone: 715-675-7766