| Brian L Van Hoozen, D.o. S.c. | |
|
1505 Mill St New London WI 54961-2187 | |
| (920) 982-7900 | |
| (920) 982-7995 |
| Full Name | Brian L Van Hoozen, D.o. S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1505 Mill St, New London, Wisconsin |
| Authorized Official Name and Position | Brian L Van Hoozen (OWNER) |
| Authorized Official Contact | 9209827900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian L Van Hoozen, D.o. S.c. 1505 Mill St New London WI 54961-2187 Ph: (920) 982-7900 | Brian L Van Hoozen, D.o. S.c. 1505 Mill St New London WI 54961-2187 Ph: (920) 982-7900 |
| NPI Number | 1144673039 |
|---|---|
| Provider Enumeration Date | 07/15/2016 |
| Last Update Date | 07/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144673039 | NPI | - | NPPES |
| 30054700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3269921 (Wisconsin) | Primary |
Ascension Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 Algoma St, New London, WI 54961 Phone: 920-982-8300 | |
Integrity Medical Group, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 N. Shawano St, Ste A, New London, WI 54961 Phone: 920-531-1100 Fax: 920-531-8310 | |
Thedacare Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-830-5900 Fax: 920-830-5910 | |
Brian Van Hoozen Do Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1505 Mill St, New London, WI 54961 Phone: 920-982-7900 Fax: 920-982-7995 |