Organization · Type 2 NPI
ST Gianna Molla Clinic, Inc
Multi-Specialty Clinic/Center · De Pere, WI
NPI number
1104426477
Active
Practice location
1716 Lawrence Dr Ste 100
De Pere, WI 54115-9108
Fax (920) 486-6826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
5 other providers at this address
- Andrea Q. Taleon, MDPediatrics Physician De Pere, WI NPI 1629182951
- Brianna Klotz, DNP, APNP, FNP-BCFamily Nurse Practitioner De Pere, WI NPI 1851954267
- Madeleine Neri Guevara, DOObstetrics Physician De Pere, WI NPI 1225254451
- Robert James Rucinski, MDPsychiatry Physician De Pere, WI NPI 1831174580
- Thomas E. Reinardy, MDObstetrics & Gynecology Physician De Pere, WI NPI 1194710509
About NPI 1104426477
ST Gianna Molla Clinic, Inc's National Provider Identifier is 1104426477, issued on Oct 27, 2020. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in De Pere, WI. The record was last updated on Apr 5, 2023.