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Pine Grove Family Practice Associates Ltd

NPI 1053853960ActiveOrganization· Family Medicine· Eau Claire, WI

Family Medicine in Eau Claire, Wisconsin, registered in NPPES in November 2016. The authorized official on file is William Hanson, D.O., Owner.

Overview

NPI1053853960
StatusActive
Entity typeOrganization
NPI issuedNov 9, 2016
Last updated in NPPESNov 9, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Eau Claire

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