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

Wild Rose Community Memorial Hospital Inc Dba Waushara Family Physicia

Organization Family Medicine Physician · NPI 1720029804

Wild Rose Community Memorial Hospital Inc Dba Waushara Family Physicia is a Family Medicine Physician in Wild Rose, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
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

601 Grove Ave
Wild Rose, WI 54984-0243
Phone: (920) 622-5560
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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 number1720029804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Caves — President · (920) 622-5576
NPI enumeratedJune 9, 2006
Last updated in NPPESMarch 18, 2013
Mailing address701 Grove Ave, Wild Rose, WI 54984-0243

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