Physician Management Services of Wisconsin, LLC

NPI #1306590377 in Lancaster, Wisconsin

Provider Information

NPI Number: 1306590377
Entity Type: Organization
Organization Name: Physician Management Services of Wisconsin, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: VAXCARE CORPORATION
Primary Specialty: Family Medicine
Enumeration Date: Feb 9, 2022
Last Updated: Feb 9, 2022

Practice Location

Address: 105 E LINCOLN AVE
City: Lancaster
State: Wisconsin
ZIP Code: 53813-2019
Phone: (888) 829-8550

Authorized Official

Name: BRETT KENEFICK
Title: PRESIDENT
Phone: (888) 829-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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