Medexpress Primary Care Wisconsin, S.c.

NPI #1073105896 in Waupaca, Wisconsin

Provider Information

NPI Number: 1073105896
Entity Type: Organization
Organization Name: Medexpress Primary Care Wisconsin, S.c.
Primary Specialty: General Practice
Enumeration Date: Feb 4, 2021
Last Updated: Feb 4, 2021

Practice Location

Address: N2610 STATE ROAD 22 STE 2
City: Waupaca
State: Wisconsin
ZIP Code: 54981-8264
Phone: (304) 225-2500

Authorized Official

Name: BRETT GALL
Title: DIRECTOR PAYOR CONTRACTING
Phone: (304) 225-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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