Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 1818 N Meade St, Appleton, Wisconsin |
Authorized Official Name and Position | J. Bryan Fissel (VP-FINANCE) |
Authorized Official Contact | 4144653000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1818 N Meade St Appleton WI 54911-3454 Ph: (920) 738-2000 | 1818 N Meade St Appleton WI 54911 Ph: (920) 831-8900 |
NPI Number | 1427201508 |
---|---|
Provider Enumeration Date | 11/03/2008 |
Last Update Date | 03/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427201508 | NPI | - | NPPES |
32752000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
East Wind Healthcare, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Richmond St, Suite C, Appleton, WI 54911 Phone: 920-997-0511 | |
Associates In Gastroenterology Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-738-7300 Fax: 920-738-7301 |