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Green Lake Medical Clinic , S.c.
Family Medicine Physician in Green Lake, Wisconsin
NPI 1306986716

Green Lake Medical Clinic , S.c. is a Family Medicine Physician based in Green Lake, WI. Green Lake Medical Clinic , S.c. practices in Green Lake, WI. The NPI Number for Green Lake Medical Clinic , S.c. is 1306986716 and holds a License No. 17659 (Wisconsin).

The current practice location address for Green Lake Medical Clinic , S.c. is N6205 Busse Drive, Green Lake, WI and can be reached out via phone at 920-294-3444 and via fax at 920-294-6660.

Location: N6205 Busse Drive, Green Lake, WI, 54941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306986716
Provider Name
Green Lake Medical Clinic , S.c.
Credential
Provider Entity Type
Organization
Address
N6205 Busse Drive, Green Lake, WI, 54941
Phone Number
920-294-3444
Fax Number
920-294-6660
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30071600 05 WI
institution
Provider Business Practice Location Address Details
Address
N6205 Busse Drive
City
Green Lake
State
Wisconsin
Zip
54941
Phone Number
920-294-3444
Fax Number
920-294-6660
person
Provider Business Mailing Address Details
Address
N6205 Busse Drive
City
Green Lake
State
Wisconsin
Zip
54941
Phone Number
920-294-3444
Fax Number
920-294-6660
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
17659 (Wisconsin)
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.
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