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

St Gianna Molla Clinic, Inc

Organization Family Medicine Physician · NPI 1104426477

St Gianna Molla Clinic, Inc is a Family Medicine Physician in De Pere, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1716 Lawrence Dr Ste 100
De Pere, WI 54115-9108
Phone: (920) 605-3115
Fax: (920) 486-6826
Show map & directions

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

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1104426477
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Goldsmith — President/Chief Medical Officer · (920) 716-1451
NPI enumeratedOctober 27, 2020
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023
Mailing address1716 Lawrence Dr Ste 100, De Pere, WI 54115-9108

Other providers in De Pere