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

Creekside Family Medicine, LLC

Organization Health Service Clinic/Center · NPI 1558610063

Creekside Family Medicine, LLC is a Health Service Clinic/Center in Appleton, Wisconsin. Licensed in Ohio. Registered with an NPI since 2012.

Licensed in
OH
In the registry since
2012
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

3608 N Bracken Dr
Appleton, WI 54911-8504
Phone: (330) 466-4431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X · Licence 35097870 (OH)

Record details

NPI number1558610063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Heiks — Sole Member · (330) 466-4431
NPI enumeratedAugust 30, 2012
Last updated in NPPESOctober 21, 2014
Mailing address3608 N Bracken Dr, Appleton, WI 54911-8504

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