MARY E BACSIK-CAMPBELL

PRAIRIE CLINIC SC

Dr MARY E BACSIK-CAMPBELL is a female medical professional, specializing in Family Medicine. She graduated in 2013 from University Of Wisconsin Medical School.

Contact

PRAIRIE CLINIC SC

112 HELEN ST
SAUK CITY
WI
535831101

Tel: 6086433351

MARY E BACSIK-CAMPBELL Information

Npi 1891138004
Pac Id 1355660671
Professional Enrollment Id I20160822001784
Last Name BACSIK-CAMPBELL
First Name MARY
Middle Name E
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF WISCONSIN MEDICAL SCHOOL
Graduation Year 2013
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PRAIRIE CLINIC SC
Group Practice Pac Id 3274521067
Number Of Group Practice Members 23
Line 1 Street Address 112 HELEN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAUK CITY
State WI
Zip Code 535831101
Phone Number 6086433351
Hospital Affiliation Ccn 1 520095
Hospital Affiliation Lbn 1 SAUK PRAIRIE HOSPITAL
Hospital Affiliation Ccn 2 520057
Hospital Affiliation Lbn 2 SSM HEALTH ST CLARE HOSPITAL - BARABOO
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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