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DOUSMAN CLINIC S.C. NPI 1265634331


NPI Information

NPI: 1265634331
Provider Name: DOUSMAN CLINIC, S.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
124 SIEGLER ST
GREEN BAY, WI
ZIP 54303
Phone: (920) 494-9661
Get Directions

DOUSMAN CLINIC, S.C. is a family medicine in Green Bay, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DOUSMAN CLINIC, S.C. NPI is 1265634331. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

124 SIEGLER ST
GREEN BAY, WI
ZIP 54303-636
Phone: (920) 494-9661

The provider's authorized official is Jan E Reimer .
The authorized official title is Clinic Manager and has the following contact phone number (920) 494-9661.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 10/24/2012.


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
1207Q00000XFamily MedicineWISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000007695MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
232786100MEDICAIDWISCONSIN

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: 11/14/2023

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