Provider Demographics
NPI:1912930751
Name:POSER CLINIC LLC
Entity Type:Organization
Organization Name:POSER CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROLF
Authorized Official - Middle Name:F
Authorized Official - Last Name:POSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:920-623-5000
Mailing Address - Street 1:635 PARK AVE
Mailing Address - Street 2:P.O. BOX 229
Mailing Address - City:COLUMBUS
Mailing Address - State:WI
Mailing Address - Zip Code:53925-2604
Mailing Address - Country:US
Mailing Address - Phone:920-623-5000
Mailing Address - Fax:920-623-0519
Practice Address - Street 1:635 PARK AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:WI
Practice Address - Zip Code:53925-2604
Practice Address - Country:US
Practice Address - Phone:920-623-5000
Practice Address - Fax:920-623-0519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty