Landwehr, Mary Lisa

Landwehr, Mary Lisa is an sole proprietor health care provider with primary practice located at 2829 County Highway I Suite 2, Chippewa Falls WI 54729-2652. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Landwehr, Mary Lisa can be contacted via phone (715) 726-3096.

Contact Information

Primary practice address
2829 County Highway I Suite 2 Chippewa Falls WI 54729-2652
Phone: (715) 726-3096
Fax: (715) 726-3979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 45925 Wisconsin

Profile Details

NPI number 1386647246
LBN Legal business name Landwehr, Mary Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated May 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386647246 NPPES
Wisconsin Other H77162 GROUP HEALTH
Wisconsin Other H77162 GROUP HEALTH
Wisconsin Other 87843 GROUP HEALTH
Wisconsin Other 01-14760 GROUP HEALTH
Wisconsin Other 370T4LA GROUP HEALTH
Wisconsin Other 34433500 GROUP HEALTH
Wisconsin MEDICAID 34433500 GROUP HEALTH
Wisconsin Other 391435797 GROUP HEALTH
Wisconsin Other 370T4LA GROUP HEALTH
Wisconsin Other W005284 GROUP HEALTH
Wisconsin Other 2135289 GROUP HEALTH
Wisconsin Other 370T4LA GROUP HEALTH
Wisconsin Other 864421040063 GROUP HEALTH
Wisconsin Other P00058497 GROUP HEALTH

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