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

Internal Medicine & Pediatrics, SC

Organization Internal Medicine Physician · NPI 1770558066

Internal Medicine & Pediatrics, SC is an Internal Medicine Physician in Fort Atkinson, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

500 McMillen St
Fort Atkinson, WI 53538-1233
Phone: (920) 563-7711
Fax: (920) 563-7705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1770558066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresanne Johnson — Office Manager · (920) 563-7711
NPI enumeratedFebruary 21, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address500 McMillen St, Fort Atkinson, WI 53538-1233

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