| Medexpress Primary Care Wisconsin, S.c. | |
|
N2610 State Road 22 Ste 2 Waupaca WI 54981-8264 | |
| (304) 225-2500 | |
| Not Available |
| Full Name | Medexpress Primary Care Wisconsin, S.c. |
|---|---|
| Speciality | General Practice |
| Location | N2610 State Road 22 Ste 2, Waupaca, Wisconsin |
| Authorized Official Name and Position | Brett Gall (DIRECTOR PAYOR CONTRACTING) |
| Authorized Official Contact | 3042252500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medexpress Primary Care Wisconsin, S.c. 1001 Consol Energy Dr Canonsburg PA 15317-6506 Ph: (304) 225-2500 | Medexpress Primary Care Wisconsin, S.c. N2610 State Road 22 Ste 2 Waupaca WI 54981-8264 Ph: (304) 225-2500 |
| NPI Number | 1073105896 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073105896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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