Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 292 Ohio St, Oshkosh, Wisconsin |
Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | 292 Ohio St Oshkosh WI 54902-5825 Ph: (920) 267-5332 |
NPI Number | 1235890435 |
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Provider Enumeration Date | 01/10/2022 |
Last Update Date | 10/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235890435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Mary Mcdonald Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2700 W 9th Ave, Suite 300, Oshkosh, WI 54904 Phone: 920-223-0490 | |
Digestive Healthcare Specialists, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2700 W 9th Ave, Suite315a, Oshkosh, WI 54904 Phone: 920-236-1630 Fax: 920-235-7897 | |