Green Lake Medical Clinic , SC
Green Lake Medical Clinic , SC is a Family Medicine Physician in Green Lake, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
N6205 Busse DrGreen Lake, WI 54941
Phone: (920) 294-3444
Fax: (920) 294-6660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 17659 (WI) |
|---|
Record details
| NPI number | 1306986716 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Willett — President · (920) 294-3444 |
| NPI enumerated | February 7, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | N6205 Busse Drive, Po Box 429, Green Lake, WI 54941 |
Other providers in Green Lake
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Community Medical Center of Green Lake, LLC
670 County Road A, Green Lake, WI 54941 · (920) 294-0100
-
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