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W2940 County Road Pp Sheboygan Falls WI 53085-2528 | |
(920) 234-3065 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | W2940 County Road Pp, Sheboygan Falls, Wisconsin |
Authorized Official Name and Position | Jill Johnson Patton (DIRECTOR OF RISK MANAGEMENT) |
Authorized Official Contact | 7049365546 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4651 Charlotte Park Dr Ste 300 Charlotte NC 28217-1916 Ph: () - | W2940 County Road Pp Sheboygan Falls WI 53085-2528 Ph: (920) 234-3065 |
NPI Number | 1831637438 |
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Provider Enumeration Date | 02/03/2017 |
Last Update Date | 08/12/2022 |
Identifier | Type | State | Issuer |
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1831637438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 3561520 (Wisconsin) | Primary |