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

Coast to Coast Wisconsin LLC

Organization Emergency Medicine Physician · NPI 1255723375

Coast to Coast Wisconsin LLC is an Emergency Medicine Physician in Wisconsin Rapids, Wisconsin. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone: (715) 423-6060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1255723375
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Bolton — Ceo · (614) 855-9961
NPI enumeratedFebruary 26, 2015
Last updated in NPPESFebruary 26, 2015
Mailing address5195 Hampsted Village Center Way, 256, New Albany, OH 43054-8331

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