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

Cmh Mountain Primary Care Clinic

Organization Non-Pharmacy Dispensing Site · NPI 1407801236

Cmh Mountain Primary Care Clinic is a Non-Pharmacy Dispensing Site in Mountain, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

13435 Weller Rd
Mountain, WI 54149-9482
Phone: (715) 276-1600
Fax: (715) 276-1800
Show map & directions

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

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 23967020 (WI)

Record details

NPI number1407801236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Henn — Clinic Manager · (920) 846-3440
Other names Douglas C Gremban Md
NPI enumeratedMay 23, 2006
Last updated in NPPESMarch 12, 2008
Mailing address855 S Main St, Oconto Falls, WI 54154-1241

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