Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antigo Medical Building, LLC

Organization Family Medicine Physician · NPI 1396575353

Antigo Medical Building, LLC is a Family Medicine Physician in Antigo, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1111 Langlade Rd
Antigo, WI 54409-2787
Phone: (715) 623-3761
Fax: (715) 623-3764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1396575353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Undeen — Credentialing Specialist · (239) 427-1257
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address1111 Langlade Rd, Antigo, WI 54409-2787

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