Proactive MD Wi Sc

NPI #1134753411 in Westfield, Wisconsin

Provider Information

NPI Number: 1134753411
Entity Type: Organization
Organization Name: Proactive MD Wi Sc
Primary Specialty: Family Medicine
Enumeration Date: Feb 26, 2020
Last Updated: Apr 1, 2022

Practice Location

Address: BRAKEBUSH HEALTH CENTER
Address 2: N4993 6TH DR.
City: Westfield
State: Wisconsin
ZIP Code: 53964
Phone: (800) 933-2121

Authorized Official

Name: JAN HOPKINS
Title: ASSOC. OPS MGR
Phone: (864) 501-0751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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