Provider Demographics
NPI:1467085878
Name:MARSHFIELD CLINIC INC
Entity Type:Organization
Organization Name:MARSHFIELD CLINIC INC
Other - Org Name:INACTIVE MARSHFIELD CLINIC PHARMACY MINOCQUA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP - CARE DELIVERY
Authorized Official - Prefix:
Authorized Official - First Name:NARAYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-387-5318
Mailing Address - Street 1:1000 N OAK AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-5703
Mailing Address - Country:US
Mailing Address - Phone:715-387-5211
Mailing Address - Fax:
Practice Address - Street 1:9576 HIGHWAY 70
Practice Address - Street 2:STE A
Practice Address - City:MINOCQUA
Practice Address - State:WI
Practice Address - Zip Code:54548-9054
Practice Address - Country:US
Practice Address - Phone:715-358-1216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARSHFIELD CLINIC HEALTH SYSTEM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-14
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy