Medexpress Primary Care Wisconsin, S.c.

NPI #1912650607 in De Pere, Wisconsin

Provider Information

NPI Number: 1912650607
Entity Type: Organization
Organization Name: Medexpress Primary Care Wisconsin, S.c.
Primary Specialty: General Practice
Enumeration Date: Feb 2, 2022
Last Updated: Feb 2, 2022

Practice Location

Address: 2020 INNOVATION CT
City: De Pere
State: Wisconsin
ZIP Code: 54115-6009
Phone: (920) 661-4215

Authorized Official

Name: BRETT GALL
Title: DIRECTOR OF PAYOR CONTRACTING
Phone: (304) 225-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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