COLUMBIA COUNTY COMMUNITY SUPPORT PROGRAM
Ambulatory Health at Hunters Trl, Portage, WI

License number
Wisconsin 1212
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: WENDY MIOTKE
Title: CREDENTIALING SPECIALIST
Phone: (608) 745-4108
Address
Address
2901 Hunters Trl, Portage, WI 53901
National Provider ID: 1154595551
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Ambulatory Health licenses in Wisconsin




Other Doctors licenses in Wisconsin