| NPI | 1275799413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WAGNER Market COO 920-496-4700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207Q00000X Family Medicine | |
| 208800000X Urology | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 225100000X Physical Therapist | |
| 231H00000X Audiologist | |
| 208M00000X Hospitalist | |
| 207V00000X Obstetrics & Gynecology | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207X00000X Orthopaedic Surgery | |
| 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2025-10-15 |