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St Gianna Molla Clinic, Inc
Multi-Specialty Clinic/Center in De Pere, Wisconsin
NPI 1104426477

St Gianna Molla Clinic, Inc is a Multi-Specialty Clinic/Center based in De Pere, WI and is specialized in Multi-Specialty. St Gianna Molla Clinic, Inc practices in De Pere, WI. The NPI Number for St Gianna Molla Clinic, Inc is 1104426477 and holds a License No. (Wisconsin).

The current practice location address for St Gianna Molla Clinic, Inc is 1716 Lawrence Dr Ste 100, De Pere, WI and can be reached out via phone at 920-605-3115 and via fax at 920-486-6826.

Location: 1716 Lawrence Dr Ste 100, De Pere, WI, 54115-9108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104426477
Provider Name
St Gianna Molla Clinic, Inc
Credential
Provider Entity Type
Organization
Address
1716 Lawrence Dr Ste 100, De Pere, WI, 54115-9108
Phone Number
920-605-3115
Fax Number
920-486-6826
Provider Enumeration Date
10/27/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100163645 05 WI
institution
Provider Business Practice Location Address Details
Address
1716 Lawrence Dr Ste 100
City
De Pere
State
Wisconsin
Zip
54115-9108
Phone Number
920-605-3115
Fax Number
920-486-6826
person
Provider Business Mailing Address Details
Address
1716 Lawrence Dr Ste 100
City
De Pere
State
Wisconsin
Zip
54115-9108
Phone Number
920-605-3115
Fax Number
920-486-6826
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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