Organization · Type 2 NPI
Careconnectmd Wisconsin Professional Corporation
General Practice Physician · Waunakee, WI
NPI number
1619658176
Active
Practice location
1025 Quinn Dr Fl 1
Waunakee, WI 53597-2502
Mailing address
3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061
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 1619658176
Careconnectmd Wisconsin Professional Corporation's National Provider Identifier is 1619658176, issued on Jul 27, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Waunakee, WI. The record was last updated on Nov 20, 2025.