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NPI 1366400848

NPI 1366400848 : CHIPPEWA VALLEY EMERGENCY CARE : EAU CLAIRE, WI

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General NPI Number Information
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    NPI Number           |    1366400848
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHIPPEWA VALLEY EMERGENCY CARE 
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Dates
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    Enumeration Date     |    05/03/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    900 WEST CLAIREMONT AVE 
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    City                 |    EAU CLAIRE
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    State                |    WI
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    Zip                  |    54701
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    Country              |    US
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    Telephone            |    715-839-4121
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2715 WEST FRANK STREET 
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    City                 |    EAU CLAIRE
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    State                |    WI
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    Zip                  |    54703
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    Country              |    US
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    Telephone            |    715-832-1508
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    Fax                  |    715-834-5870
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Authorized Official
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    Title or Position    |    ER PHYSICIAN
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    Name                 |    MR. WOLFRAM  SCHYNOLL 
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    Credential           |    MD
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    Telephone            |    715-839-4121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207PE0004X
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    Taxonomy Name        |    Emergency Medical Services (Emergency Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207PT0002X
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    Taxonomy Name        |    Medical Toxicology (Emergency Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207PP0204X
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    Taxonomy Name        |    Pediatric Emergency Medicine (Emergency Medicine) Physician
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    License Number       |    
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    License Number State |    
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