Organization · Type 2 NPI
Medexpress Primary Care Wisconsin, S.c.
General Practice Physician · Waupaca, WI
NPI number
1073105896
Active
Practice location
N2610 State Road 22 Ste 2
Waupaca, WI 54981-8264
Mailing address
1001 Consol Energy Dr
Canonsburg, PA 15317-6506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1073105896
Medexpress Primary Care Wisconsin, S.c.'s National Provider Identifier is 1073105896, issued on Feb 4, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Waupaca, WI. The record was last updated on Feb 4, 2021.