Hometown Physician Services Md, S.c.

NPI #1558832055 in Woodville, Wisconsin

Provider Information

NPI Number: 1558832055
Entity Type: Organization
Organization Name: Hometown Physician Services Md, S.c.
Primary Specialty: Family Medicine
Enumeration Date: Dec 9, 2018
Last Updated: Dec 16, 2019

Practice Location

Address: 401 FINVOLD ST
City: Woodville
State: Wisconsin
ZIP Code: 54028
Phone: (617) 304-2262

Authorized Official

Name: JEFFREY HENDRICKS
Title: MSO ADMINISTRATOR
Phone: (617) 304-2262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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