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

Wellington Provider Group PC

Organization Family Medicine Physician · NPI 1720784242

Wellington Provider Group PC is a Family Medicine Physician in Milwaukee, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1433 N Water St Ste 400
Milwaukee, WI 53202-2603
Phone: (859) 518-8817
Fax: (859) 201-1084
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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

Record details

NPI number1720784242
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWellington Provider Group PC
Authorized official Mariela Bravo — Credentialing Specialist · (859) 518-8817
NPI enumeratedFebruary 6, 2023
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023
Mailing address535 Wellington Way Ste 330, Lexington, KY 40503-1331

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