Wausau Aviation Medicine Services, NPI 1356486369
Family Medicine Physician in Wausau, WI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1356486369 |
| NPI Entity Type | Organization |
| Provider Name | Wausau Aviation Medicine Services |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 915 Woods Place, Wausau, WI, US |
| Provider Mailing Address | Po Box 477, Wausau, WI, US, 544020477 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. M.D. Glenn Brigham Burt III |
| Official Position | OWNER |
| Phone | 715-675-5371 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Family Medicine Physician |
| Classification | |
| Group | |
| License No. | 27936 |
| License State | WI |
| Description | Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 21286900 | WI | MEDICAID | 05 |
| 201533595018 | WI | ANTHEM BCBS | 01 |
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