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

Mayville Family Practice LLC

Organization Family Medicine Physician · NPI 1154821387

Mayville Family Practice LLC is a Family Medicine Physician in West Bend, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018
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

5595 County Road Z
West Bend, WI 53095-9224
Phone: (262) 339-3038
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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 48218-21 (WI)

Record details

NPI number1154821387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Sammis — Physician/Owner · (262) 339-3033
NPI enumeratedFebruary 14, 2018
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address3545 Martha Ct, West Bend, WI 53095-8792

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