Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREEN LAKE MEDICAL CLINIC , S.C.
Active OrganizationGREEN LAKE MEDICAL CLINIC , S.C. is a Family Medicine organization located in GREEN LAKE, Wisconsin. NPI 1306986716 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GREEN LAKE, WI
Registration Details
- NPI Number
- 1306986716
- Provider Type
- Organization
- NPI Issued
- Feb 7, 2007 (19.505797595382 yrs)
- Last Updated
- Aug 22, 2020
- License
-
17659 (WI)
Practice Information
- Address
-
N6205 BUSSE DRIVEGREEN LAKE, WI, 54941Browse WI providers · Browse ZIP 54941
- Phone
- 9202943444
- Fax
- 9202946660
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Organizations in GREEN LAKE, WI
| Name | NPI |
|---|---|
| COMMUNITY MEDICAL CENTER OF GREEN LAKE, LLC | 1568622280 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.