Chc of Wisconsin

NPI #1952174096 in Appleton, Wisconsin

Provider Information

NPI Number: 1952174096
Entity Type: Organization
Organization Name: Chc of Wisconsin
Primary Specialty: Family Medicine
Enumeration Date: Oct 31, 2023
Last Updated: Dec 15, 2023

Practice Location

Address: 1120 E NAWADA ST
City: Appleton
State: Wisconsin
ZIP Code: 54911-5271
Phone: (920) 810-2372

Authorized Official

Name: MICHELE DIGERONIMO, ADMIN
Title: ADMIN BILLING
Phone: (516) 708-1349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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