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NORTHWOODS FAMILY PHYSICAL MEDICINE OF WISCONSIN S.C. NPI 1518446558


NPI Information

NPI: 1518446558
Provider Name: NORTHWOODS FAMILY PHYSICAL MEDICINE OF WISCONSIN, S.C.

Doing Business As: NORTHWOODS FAMILY PHYSICAL MEDICINE

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
2360A DUCK CREEK PKWY STE 2
GREEN BAY, WI
ZIP 54303
Phone: (920) 301-3024
Get Directions

NORTHWOODS FAMILY PHYSICAL MEDICINE OF WISCONSIN, S.C. is a medical specialty clinic center in Green Bay, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). NORTHWOODS FAMILY PHYSICAL MEDICINE OF WISCONSIN, S.C. NPI is 1518446558. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwoods Family Physical Medicine.

The provider's business location address is:

2360A DUCK CREEK PKWY STE 2
GREEN BAY, WI
ZIP 54303-377
Phone: (920) 301-3024
Fax: (920) 301-3049

The provider's authorized official is Kimberly Scarlassara .
The authorized official title is Clinic Director and has the following contact phone number (920) 301-3024.

The enumeration date for this NPI number is 8/10/2018 and was last updated on 8/10/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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