Grant Regional Family Practice

NPI #1750331807 in Lancaster, Wisconsin

Provider Information

NPI Number: 1750331807
Entity Type: Organization
Organization Name: Grant Regional Family Practice
Subpart: Yes (part of a larger organization)
Parent Organization: GRANT REGIONAL HEALTH CENTER
Primary Specialty: Family Medicine
Enumeration Date: May 11, 2006
Last Updated: Oct 22, 2007

Practice Location

Address: 507 S MONROE ST
City: Lancaster
State: Wisconsin
ZIP Code: 53813-2054
Phone: (608) 723-3293

Authorized Official

Name: NICOLE CLAPP
Title: CEO
Phone: (608) 723-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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