| Chc Of Wisconsin | |
|
1120 E Nawada St Appleton WI 54911-5271 | |
| (920) 810-2372 | |
| Not Available |
| Full Name | Chc Of Wisconsin |
|---|---|
| Speciality | Family Medicine |
| Location | 1120 E Nawada St, Appleton, Wisconsin |
| Authorized Official Name and Position | Michele Digeronimo (ADMIN BILLING) |
| Authorized Official Contact | 5167081349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chc Of Wisconsin 1120 E Nawada St Appleton WI 54911-5271 Ph: (920) 810-2372 | Chc Of Wisconsin 1120 E Nawada St Appleton WI 54911-5271 Ph: (920) 810-2372 |
| NPI Number | 1952174096 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 12/15/2023 |
| Medicare PECOS PAC ID | 1254774698 |
|---|---|
| Medicare Enrollment ID | O20240213001596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952174096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John P Steinlage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235174657 PECOS PAC ID: 9739185174 Enrollment ID: I20061009000172 |
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