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1 Persnickety Pl Plymouth WI 53073-3544 | |
| (920) 892-3468 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1 Persnickety Pl, Plymouth, Wisconsin |
| Authorized Official Name and Position | Rhiannon Chandler (MGR, CENTRAL SUPPORT) |
| Authorized Official Contact | 8126069901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10 W Market St Ste 2900 Indianapolis IN 46204-2964 Ph: (802) 857-0400 | 1 Persnickety Pl Plymouth WI 53073-3544 Ph: (920) 892-3468 |
| NPI Number | 1356856074 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356856074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Plymouth Family Physicians, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Eastern Ave, Plymouth, WI 53073 Phone: 920-893-0526 Fax: 920-893-8068 |