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

Medexpress Primary Care Wisconsin, SC

Organization General Practice Physician · NPI 1073105896

Medexpress Primary Care Wisconsin, SC is a General Practice Physician in Waupaca, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

N2610 State Road 22 Ste 2
Waupaca, WI 54981-8264
Phone: (304) 225-2500
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1073105896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Gall — Director Payor Contracting · (304) 225-2500
Other names Waupaca Foundry
NPI enumeratedFebruary 4, 2021
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021
Mailing address1001 Consol Energy Dr, Canonsburg, PA 15317-6506