Mercy Family Practice Sc

NPI #1831256866 in De Pere, Wisconsin

Provider Information

NPI Number: 1831256866
Entity Type: Organization
Organization Name: Mercy Family Practice Sc
Primary Specialty: Internal Medicine
Enumeration Date: Jan 2, 2007
Last Updated: Mar 4, 2015

Practice Location

Address: 1500 HERITAGE RD, SUITE A
City: De Pere
State: Wisconsin
ZIP Code: 54115-4017
Phone: (920) 347-1990

Authorized Official

Name: KEVIN P ROSTEING, MD MSMI
Title: BUSINESS MANAGER
Phone: (920) 347-1990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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