Western Wisconsin Urology

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

WESTERN WISCONSIN UROLOGY

Practice address

3217 Stein Blvd
Eau Claire, WI 54701-6946

Phone

(715) 835-6548

Fax

(715) 835-7708

NPI assigned

Jul 9, 2025

Organization subpart

No

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

Authorized official

Name

Lynnsi Gullicksrud

Title

Practice Administrator

Phone

(715) 835-6548

Specialties & licenses 1

Addresses

Tax ID family

Western Wisconsin Urology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Western Wisconsin Urology

  • Urology Physician
  • Eau Claire, WI
  • NPI 1710060199
  NPD tax ID

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1821989872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 STEIN BLVD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016946",
            "telephone_number": "715-835-6548",
            "fax_number": "715-835-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 STEIN BLVD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016946",
            "telephone_number": "715-835-6548",
            "fax_number": "715-835-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN WISCONSIN UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "GULLICKSRUD",
        "authorized_official_first_name": "LYNNSI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "715-835-6548"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily West, DPT
• Grace West, PA-C
• Barbara L Westerberg, CADCIII
• Western Wisconsin Ear, Nose & Throat Center, S.C.
• Western Wisconsin Urology
• Lauren Wetter, OTR/L
• Donna Renee Whalen, NP
• Barbara Sue Wheeler, LAC
• Dana Frances Whitcome, SAC-IT
• Annelies Luellen White, LPC

• Non-Pharmacy Dispensing Site in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Non-Pharmacy Dispensing Site in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.