Organization · Type 2 NPI
Creekside Family Medicine, LLC
Health Service Clinic/Center · Appleton, WI
NPI number
1558610063
Active
Practice location
3608 N Bracken Dr
Appleton, WI 54911-8504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 35097870 (OH) |
Health Service Clinic/Center: Definition to come...
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About NPI 1558610063
Creekside Family Medicine, LLC's National Provider Identifier is 1558610063, issued on Aug 30, 2012. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Appleton, WI. The record was last updated on Oct 21, 2014.