| The Caring Doctor, Llc | |
|
340 N Green Bay Ave Gillett WI 54124-9325 | |
| (920) 855-2823 | |
| (920) 855-6343 |
| Full Name | The Caring Doctor, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 340 N Green Bay Ave, Gillett, Wisconsin |
| Authorized Official Name and Position | Genadi Maltinski (CEO) |
| Authorized Official Contact | 9208552823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Caring Doctor, Llc Po Box 134 Krakow WI 54137-0134 Ph: (920) 855-2823 | The Caring Doctor, Llc 340 N Green Bay Ave Gillett WI 54124-9325 Ph: (920) 855-2823 |
| NPI Number | 1962622522 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 09/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962622522 | NPI | - | NPPES |
| 32368600 | Medicaid | WI | |
| 1710966288 | Other | WI | GENADI MALTINSKI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38713-020 (Wisconsin) | Primary |
St Clare Memorial Hospital Gillett Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 340 N Green Bay Ave, Gillett, WI 54124 Phone: 920-855-2823 Fax: 920-855-6343 |