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Space Coast Family Practice
Clinic/Center in Green Bay, Wisconsin
NPI 1811099054

Space Coast Family Practice is a Clinic/Center based in Green Bay, WI. Space Coast Family Practice practices in Green Bay, WI. The NPI Number for Space Coast Family Practice is 1811099054 and holds a License No. ME88311 (Wisconsin).

The current practice location address for Space Coast Family Practice is 3067 Windland Dr, Green Bay, WI and can be reached out via phone at 920-544-5868. You can also correspond with Space Coast Family Practice through the mailing address at 3067 WINDLAND DR, GREEN BAY, WI - 54311-7574 (mailing address contact number: 920-544-5868).

Location: 3067 Windland Dr, Green Bay, WI, 54311-7574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811099054
Provider Name
Space Coast Family Practice
Credential
Provider Entity Type
Organization
Address
3067 Windland Dr, Green Bay, WI, 54311-7574
Phone Number
920-544-5868
Fax Number
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3067 Windland Dr
City
Green Bay
State
Wisconsin
Zip
54311-7574
Phone Number
920-544-5868
Fax Number
person
Provider Business Mailing Address Details
Address
3067 Windland Dr
City
Green Bay
State
Wisconsin
Zip
54311-7574
Phone Number
920-544-5868
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
ME88311 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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