| Uwhp Wrmc Johnson Creek Clinic | |
|
540 Village Walk Ln Johnson Creek WI 53038-9554 | |
| (920) 699-6200 | |
| Not Available |
| Full Name | Uwhp Wrmc Johnson Creek Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 540 Village Walk Ln, Johnson Creek, Wisconsin |
| Authorized Official Name and Position | Robert James Kluge (PATIENT ACCOUNTS MANAGER) |
| Authorized Official Contact | 9202624784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uwhp Wrmc Johnson Creek Clinic Po Box 684088 Chicago IL 60695-4088 Ph: (920) 699-6200 | Uwhp Wrmc Johnson Creek Clinic 540 Village Walk Ln Johnson Creek WI 53038-9554 Ph: (920) 699-6200 |
| NPI Number | 1043499080 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 03/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043499080 | NPI | - | NPPES |
| 21267000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Wisconsin) | Primary |
Three Oaks Health S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 480 Village Walk Ln Ste F, Johnson Creek, WI 53038 Phone: 920-542-3010 |