Healthcare Provider Details

I. General information

NPI: 1396800595
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: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 S. MAIN ST.
BLANCHARDVILLE WI
53516
US

IV. Provider business mailing address

515 22ND AVE
MONROE WI
53566-1569
US

V. Phone/Fax

Practice location:
  • Phone: 608-523-4261
  • Fax:
Mailing address:
  • Phone: 608-324-2770
  • Fax:

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