| Medexpress Primary Care Wisconsin, S.c. | |
|
2020 Innovation Ct De Pere WI 54115-6009 | |
| (920) 661-4215 | |
| (920) 661-4277 |
| Full Name | Medexpress Primary Care Wisconsin, S.c. |
|---|---|
| Speciality | General Practice |
| Location | 2020 Innovation Ct, De Pere, Wisconsin |
| Authorized Official Name and Position | Brett Gall (DIRECTOR OF PAYOR CONTRACTING) |
| Authorized Official Contact | 3042252500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medexpress Primary Care Wisconsin, S.c. 1001 Consol Energy Dr Canonsburg PA 15317-6506 Ph: (304) 225-2500 | Medexpress Primary Care Wisconsin, S.c. 2020 Innovation Ct De Pere WI 54115-6009 Ph: (920) 661-4215 |
| NPI Number | 1912650607 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 02/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912650607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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