MEDEXPRESS PRIMARY CARE WISCONSIN S.C. NPI 1194422964

NPI Information

  • NPI: 1194422964
  • Provider Name: MEDEXPRESS PRIMARY CARE WISCONSIN, S.C.
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 52D2282929
  • Address: 3900 HALL AVE
    SUITE H
    MARINETTE, WI
    ZIP 54143
  • Phone: (304) 225-2500

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NPI Details

MEDEXPRESS PRIMARY CARE WISCONSIN, S.C. is a general practice in Marinette, WI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MEDEXPRESS PRIMARY CARE WISCONSIN, S.C. NPI is 1194422964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3900 HALL AVE
SUITE H
MARINETTE, WI
ZIP 54143
Phone: (304) 225-2500

The provider's authorized official is David R Ferrell .
The authorized official title is President and has the following contact phone number (305) 225-2500.

The CLIA number assigned to this NPI record is 52D2282929 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2023 and was last updated on 2/13/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 11/21/2025

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