Organization · Type 2 NPI

St. Nicholas Hospital-Sisters of the Third Order of St. Francis

General Practice Physician · Kohler, WI

NPI number 1407202831 Active

Practice location

950 Woodlake Rd
Kohler, WI 53044-1348

Call (920) 496-4700 Map

Mailing address

PO Box 19070
Green Bay, WI 54307-9070

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
General Practice Physician Primary	208D00000X	None listed
Radiologic Technologist	247100000X	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.

11 other providers at this address

NPI record

NPI: 1407202831
Entity type: Organization (Type 2)
Issued: May 4, 2016
Last updated: Feb 12, 2026
Status: Active
Subpart: Yes of St. Nicholas Hospital-Sisters of the Third Order of St. Francis

Other names

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Prevea Kohler Woodlake · doing business as
Prevea Kohler Woodlake · doing business as

Authorized official

John Wagner
Market COO
(920) 496-4700

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407202831

St. Nicholas Hospital-Sisters of the Third Order of St. Francis's National Provider Identifier is 1407202831, issued on May 4, 2016. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Kohler, WI. The record was last updated on Feb 12, 2026.