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

Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin

Organization Emergency Medicine Physician · NPI 1639187412

Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin is an Emergency Medicine Physician in Antigo, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2006
Specialties on file
4

Practice location Address checks out

112 E 5th Ave
Antigo, WI 54409-2710
Phone: (715) 623-2331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 519 Flight Rd, Antigo, WI 54409-9410 — (715) 627-2613

Specialties & licences

Critical Access Hospital (primary) Taxonomy 282NC0060X · Licence 1055 (WI)
Emergency Medicine Physician Taxonomy 207P00000X
Rehabilitation Clinic/Center Taxonomy 261QR0400X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1639187412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Peck — Svp- Chief Financial Officer · (715) 847-2575
NPI enumeratedAugust 4, 2006
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing address29980 Network Pl, Chicago, IL 60673-1299

Other providers in Antigo