| |
2809 N. Park Drive Lane Appleton WI 54911 | |
(920) 380-4999 | |
(920) 380-4961 |
Full Name | |
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Speciality | Nurse Practitioner - Occupational Health |
Location | 2809 N. Park Drive Lane, Appleton, Wisconsin |
Authorized Official Name and Position | William Flett (CFO) |
Authorized Official Contact | 9204544013 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2809 N. Park Drive Lane Appleton WI 54911 Ph: (920) 380-4999 | 2809 N. Park Drive Lane Appleton WI 54911 Ph: (920) 380-4999 |
NPI Number | 1063569002 |
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Provider Enumeration Date | 01/04/2007 |
Last Update Date | 01/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063569002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
363LX0106X | Nurse Practitioner - Occupational Health | (* (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 |