Mile Bluff Clinic, LLP

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MILE BLUFF CLINIC, LLP

Practice address

1104 21St St
Reedsburg, WI 53959-1156

Phone

(608) 524-6487

NPI assigned

Nov 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carol Fronk

Title

Administrator

Phone

(608) 847-5000

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1154501856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 DIVISION ST",
            "city": "MAUSTON",
            "state": "WV",
            "postal_code": "53948",
            "telephone_number": "608-847-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 21ST ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591156",
            "telephone_number": "608-524-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE BLUFF CLINIC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "FRONK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "608-847-5000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41679000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Meulemans
• Julaine Meyer, R.N.
• Betsy May Mihlbauer, OTR
• Renee Mikonowicz, APNP
• Erin Milbach, OTR
• Mark Miller
• Lorrie L Mittelstaedt, M.S., CCC-SLP, BCBA
• Aaron Morehouse
• Robert Harry Mortimore, M.D.
• Alexis Taylor Mowry, PHARMD

• Durable Medical Equipment & Medical Supplies in Reedsburg, WI
• Providers in Reedsburg, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.