| Dr Bruce R Danz, MD | |
|
305 E 12th St, Kaukauna, WI 54130-2865 | |
| (920) 766-4656 | |
| (920) 766-4659 |
| Full Name | Dr Bruce R Danz |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 305 E 12th St, Kaukauna, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386600666 | NPI | - | NPPES |
| 30522800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0024090 (Wisconsin) | Primary |
| Entity Name | Kaukauna Clinic, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457317273 PECOS PAC ID: 5597765891 Enrollment ID: O20070111000068 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce R Danz, MD 305 E 12th St, Kaukauna, WI 54130-2865 Ph: (920) 766-4656 | Dr Bruce R Danz, MD 305 E 12th St, Kaukauna, WI 54130-2865 Ph: (920) 766-4656 |
Dr. Paul H Russo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Dr. Joseph C Graunke, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Dr. Timothy P Culligan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Dr. Gregory A Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 East 12th Street, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Dr. Jennifer L Schoening, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Amy S Coulthard-atwater, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Arbor Way, Kaukauna, WI 54130 Phone: 920-766-3200 |