Marci A Wicklund-Allee, BS
Individual provider Active NPI Case Manager/Care Coordinator · Balsam Lake, WI
NPI 1376861641 · NPPES record last updated May 12, 2010
Key facts
- NPI
- 1376861641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 100 Polk County PLZ
Suite 50
Balsam Lake, WI 54810-9071 - Phone
- (715) 485-8412
- Fax
- (715) 485-8490
- NPI assigned
- May 12, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
100 Polk County PLZ
Suite 50
Balsam Lake, WI 54810-9071
Mailing address
309 Old County Rd W
Frederic, WI 54837-9056
Phone (651) 235-8051
Other providers in Balsam Lake, WI
- Diane M Torres
- Unity Pharmacy, LLC
- Diane M Voltz
- Deborah L Wald
- Western Region Recovery & Wellness Consortia
- Tammy Jo Zarn
All providers in Balsam Lake, WI · Case Manager/Care Coordinator in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.