Provider Demographics
NPI:1407722473
Name:ASTIA HEALTH CLINICAL SERVICES, SC
Entity type:Organization
Organization Name:ASTIA HEALTH CLINICAL SERVICES, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:L
Authorized Official - Last Name:SOMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:715-317-5846
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:WI
Mailing Address - Zip Code:54448-0066
Mailing Address - Country:US
Mailing Address - Phone:715-317-5846
Mailing Address - Fax:
Practice Address - Street 1:1000 LAKE VIEW DR
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54403-6784
Practice Address - Country:US
Practice Address - Phone:715-448-8575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASTIA HEALTH CLINICAL SERVICES, SC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty