Proactive MD Wi Sc

NPI #1871127092 in Westfield, Wisconsin

Provider Information

NPI Number
1871127092
Entity Type
Organization
Organization Name
Proactive MD Wi Sc
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Feb 26, 2020
Last Updated
Mar 25, 2022

Practice Location

Address
N4993 6TH DR
ZIP Code
53964-8200
Phone
(812) 645-1892

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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