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

Cmh Primary Care Clinic Moutain-Physician Dispensary

Organization Family Medicine Physician · NPI 1962533455

Cmh Primary Care Clinic Moutain-Physician Dispensary is a Family Medicine Physician in Mountain, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

14353 Hwy 32 & 64
Mountain, WI 54149
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

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 23967-020 (WI)

Record details

NPI number1962533455
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Gremban — Physician Dispensary · (715) 276-1600
Other names Cmh Primary Care Clinic-Mountain; Cmh Primary Care Clinic-Mountain
NPI enumeratedMarch 8, 2007
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021
Mailing address14353 Hwy 32 & 64, Mountain, WI 54149

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