OrganizationActive
Menominee Indian Tribe of Wisconsin
NPI 1972545010 · Clinic Pharmacy · Keshena, WI
Menominee Indian Tribe of Wisconsin is a Clinic Pharmacy organization in Keshena, WI (NPI 1972545010).
Provider details
- NPI number
- 1972545010
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jerry Waukau, Health Administrator(715) 799-3361
- License
- 7848-042 (WI)
Practice location
W3275 Wolf River Road
Keshena, WI 54135
Phone: (715) 799-3361
Fax: (715) 799-3099
Street-level locationGet directions
Mailing address
Po Box 970
Keshena, WI 54135-0970
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.