DRIFTLESS DIABETES MANAGEMENT LLC NPI 1902592157

NPI Information

  • NPI: 1902592157
  • Provider Name: DRIFTLESS DIABETES MANAGEMENT, LLC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • CLIA Number: 52D2293493
  • Address: 285 S WINSTED ST
    SPRING GREEN, WI
    ZIP 53588
  • Phone: (608) 469-3334

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NPI Details

DRIFTLESS DIABETES MANAGEMENT, LLC is an endocrinology and diabetes and metabolism internal medicine in Spring Green, WI. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DRIFTLESS DIABETES MANAGEMENT, LLC NPI is 1902592157. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

285 S WINSTED ST
SPRING GREEN, WI
ZIP 53588-151
Phone: (608) 469-3334

The provider's authorized official is Jaclyn Wilkinson .
The authorized official title is Owner and has the following contact phone number (608) 469-3334.

The CLIA number assigned to this NPI record is 52D2293493 - other - private practice clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2023 and was last updated on 4/12/2023.

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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

What is NPI?

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This page was last updated on: 11/21/2025

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