Provider Demographics
NPI:1043641947
Name:WAUSAU HEALTH SERVICES
Entity Type:Organization
Organization Name:WAUSAU HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/SUPERVISOR IN TRAINING
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STENDAHL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CSAC, PC, CS-IT
Authorized Official - Phone:715-845-3736
Mailing Address - Street 1:209 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54403-5475
Mailing Address - Country:US
Mailing Address - Phone:715-845-3637
Mailing Address - Fax:715-845-1977
Practice Address - Street 1:209 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54403-5475
Practice Address - Country:US
Practice Address - Phone:715-845-3637
Practice Address - Fax:715-845-1977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site