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

Northwoods Family Physical Medicine of Wisconsin, SC

Organization Medical Specialty Clinic/Center · NPI 1518446558

Northwoods Family Physical Medicine of Wisconsin, SC is a Medical Specialty Clinic/Center in Green Bay, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

2360A Duck Creek Pkwy Ste 2
Green Bay, WI 54303-3377
Phone: (920) 301-3024
Fax: (920) 301-3049
Show map & directions

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

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1518446558
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Scarlassara — Clinic Director · (920) 301-3024
Other names Northwoods Family Physical Medicine
NPI enumeratedAugust 10, 2018
Last updated in NPPESAugust 10, 2018
Mailing address2360a Duck Creek Pkwy Ste 2, Green Bay, WI 54303-3377

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