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

Eastern Wisconsin Colonoscopy & Gastroenterology, SC

Organization Gastroenterology Physician · NPI 1457317463

Eastern Wisconsin Colonoscopy & Gastroenterology, SC is a Gastroenterology Physician in Sheboygan, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1414 N Taylor Dr Ste 144
Sheboygan, WI 53081-1988
Phone: (920) 457-4400
Fax: (920) 457-4422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1457317463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Haller — President · (920) 457-4400
NPI enumeratedApril 26, 2006
Last updated in NPPESJune 24, 2010
Mailing address1414 N Taylor Dr Ste 144, Sheboygan, WI 53081-1988

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