Cmh Primary Care Clinic Moutain-Physician Dispensary

NPI #1962533455 in Mountain, Wisconsin

Provider Information

NPI Number: 1962533455
Entity Type: Organization
Organization Name: Cmh Primary Care Clinic Moutain-Physician Dispensary
Primary Specialty: Family Medicine
Enumeration Date: Mar 8, 2007
Last Updated: Dec 23, 2021

Practice Location

Address: 14353 HWY 32 & 64
City: Mountain
State: Wisconsin
ZIP Code: 54149
Phone: (715) 276-1600

Authorized Official

Name: DOUGLAS C GREMBAN II, M.D.
Title: PHYSICIAN DISPENSARY
Phone: (715) 276-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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