| Marsho Family Medical Group, Sc | |
|
1703 N Taylor Dr Sheboygan WI 53081-1933 | |
| (920) 457-4438 | |
| (920) 451-3214 |
| Full Name | Marsho Family Medical Group, Sc |
|---|---|
| Speciality | Internal Medicine - Allergy & Immunology |
| Location | 1703 N Taylor Dr, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Chris M Thompson (ADMINISTRATOR) |
| Authorized Official Contact | 9204513240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marsho Family Medical Group, Sc 1703 N Taylor Dr Sheboygan WI 53081-1933 Ph: (920) 451-5700 | Marsho Family Medical Group, Sc 1703 N Taylor Dr Sheboygan WI 53081-1933 Ph: (920) 457-4438 |
| NPI Number | 1093771743 |
|---|---|
| Provider Enumeration Date | 04/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093771743 | NPI | - | NPPES |
| 32662500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RA0201X | Internal Medicine - Allergy & Immunology | (* (Not Available)) | Primary |
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