Community Medical Center of Green Lake, LLC
Community Medical Center of Green Lake, LLC is a Family Medicine Physician in Green Lake, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.
- Licensed in
- WI
- In the registry since
- 2008
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
670 County Road AGreen Lake, WI 54941
Phone: (920) 294-0100
Fax: (920) 294-0123
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 44378 (WI) |
|---|
Record details
| NPI number | 1568622280 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Krystowiak — Chief Financial Officer · (920) 361-1313 |
| Other names | Chn Medical Center Green Lake |
| NPI enumerated | June 16, 2008 |
| Last updated in NPPES | May 2, 2014 |
| Mailing address | 670 County Road A, Green Lake, WI 54941 |
Other providers in Green Lake
-
Green Lake Medical Clinic , SC
N6205 Busse Dr, Green Lake, WI 54941 · (920) 294-3444
-
Jared M. Kohlenberg, DO
670 County Road A, Green Lake, WI 54941-8608 · (920) 294-0100
-
Courtney McClintic, MD
670 County Road A, Green Lake, WI 54941-8608 · (920) 294-0100
-
Dr. Thomas Rice Willett, DO
N6205 Busse Rd, Green Lake, WI 54941-8500 · (920) 294-3444