Organization · Type 2 NPI

CMH Primary Care Clinic Moutain-Physician Dispensary

Family Medicine Physician · Mountain, WI

NPI number 1962533455 Active

Practice location

14353 Hwy 32 & 64
Mountain, WI 54149

Fax (715) 276-1800

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	23967-020 (WI)

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.

NPI record

NPI: 1962533455
Entity type: Organization (Type 2)
Issued: Mar 8, 2007
Last updated: Dec 23, 2021
Status: Active

Other names

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CMH Primary Care Clinic-Mountain · doing business as
CMH Primary Care Clinic-Mountain · doing business as

Authorized official

Douglas C Gremban, MD
Physician Dispensary
(715) 276-1600

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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 1962533455

CMH Primary Care Clinic Moutain-Physician Dispensary's National Provider Identifier is 1962533455, issued on Mar 8, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mountain, WI. The record was last updated on Dec 23, 2021.