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A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adolescent Medicine |
207QA0000X | 08 | Physician/Family Practice |
| NPI Number | 1700728052 |
| LBN Legal business name | EAU CLAIRE COOPERATIVE HEALTH CENTER ,INC. |
| Authorized official | KIMBERLY TILLEY - (CREDENTIALING MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/07/2026 |
| Last updated | 04/07/2026 - About 2 months ago |
| Identifiers | n/a |
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EAU CLAIRE COOPERATIVE HEALTH CENTER ,INC.