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General NPI Number Information
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NPI Number | 1881930527
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Entity Type | Organization
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Legal Business Name | MILE BLUFF MEDICAL CENTER INC
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Dates
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Enumeration Date | 12/28/2012
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1040 DIVISION ST
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City | MAUSTON
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State | WI
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Zip | 53948-1931
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Country | US
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Telephone | 608-847-6161
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Fax | 608-847-2079
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Provider Business Mailing Address
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Address Line | 1050 DIVISION ST
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City | MAUSTON
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State | WI
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Zip | 53948-1931
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Country | US
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Telephone | 608-847-6161
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Fax | 608-847-2079
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Authorized Official
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Title or Position | VP/CFO
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Name | THOMAS KAMINSKI
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Credential |
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Telephone | 608-847-1452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery 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 | 207VG0400X
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Taxonomy Name | Gynecology 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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery 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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 134
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License Number State | WI
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Taxonomy #8
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 134
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License Number State | WI
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Taxonomy #9
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 134
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License Number State | WI
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