| Integrity Medical Group, S.c. | |
|
1370 N. Shawano St Ste A New London WI 54961-7943 | |
| (920) 531-1100 | |
| (920) 531-8310 |
| Full Name | Integrity Medical Group, S.c. |
|---|---|
| Speciality | General Practice |
| Location | 1370 N. Shawano St, New London, Wisconsin |
| Authorized Official Name and Position | Timothy B Rasor (PRESIDENT) |
| Authorized Official Contact | 9209822491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Medical Group, S.c. 1370 N. Shawano St Ste A New London WI 54961-7943 Ph: (920) 531-1100 | Integrity Medical Group, S.c. 1370 N. Shawano St Ste A New London WI 54961-7943 Ph: (920) 531-1100 |
| NPI Number | 1376588244 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 09/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376588244 | NPI | - | NPPES |
| 21302700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 27767-020 (Wisconsin) | Primary |
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