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Search › Wisconsin › 101YA0400X

Joseph White Eagle, SAC

NPI 1033531108 · on the registry since 2014

Practice

Address
S2845 White Eagle Rd
Baraboo, WI 53913
Phone
(608) 355-1240
Fax
(608) 355-9588
Organisation at this address
Ho Chunk Nation
Ho-Chunk Nation
Ho Chunk Nation
Ho Chunk Nation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin