| Plymouth Family Physicians, S.c. | |
|
1000 Eastern Ave Plymouth WI 53073-1921 | |
| (920) 893-0526 | |
| (920) 893-8068 |
| Full Name | Plymouth Family Physicians, S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Eastern Ave, Plymouth, Wisconsin |
| Authorized Official Name and Position | Judy Klein (OFFICE MANAGER) |
| Authorized Official Contact | 9208930526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plymouth Family Physicians, S.c. 1000 Eastern Ave Plymouth WI 53073-1921 Ph: (920) 893-0526 | Plymouth Family Physicians, S.c. 1000 Eastern Ave Plymouth WI 53073-1921 Ph: (920) 893-0526 |
| NPI Number | 1548372964 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548372964 | NPI | - | NPPES |
| 32707400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 597162 (Wisconsin) | Primary |
Mh Health Care Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Persnickety Pl, Plymouth, WI 53073 Phone: 920-892-3468 |