Organization · Type 2 NPI

360 Medical Group Wisconsin SC

Family Medicine Physician · Appleton, WI

NPI number 1104750660 Active

Practice location

2800 E Enterprise Ave Ste 333
Appleton, WI 54913-7889

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: 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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About NPI 1104750660

360 Medical Group Wisconsin SC's National Provider Identifier is 1104750660, issued on Jun 10, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Appleton, WI. The record was last updated on Jun 10, 2026.