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

Pediatrix Medical Group of Wisconsin, SC

Organization Pediatrics Physician · NPI 1821700857

Pediatrix Medical Group of Wisconsin, SC is a Pediatrics Physician in Appleton, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

1506 S Oneida St
Appleton, WI 54915-1305
Phone: (920) 738-2000
Show map & directions

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

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X
Pediatrics Physician Taxonomy 208000000X
Neonatal Nurse Practitioner Taxonomy 363LN0000X

Record details

NPI number1821700857
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Delores Gries — Director, President · (800) 243-3839
NPI enumeratedDecember 21, 2022
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022
Mailing address1301 Concord Ter, Sunrise, FL 33323-2843

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