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

Wildwood Family Clinic, SC

Organization Family Medicine Physician · NPI 1225115124

Wildwood Family Clinic, SC is a Family Medicine Physician in Cottage Grove, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

535 Southing Grange
Cottage Grove, WI 53527-9338
Phone: (608) 839-3515
Fax: (608) 839-3541
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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 number1225115124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheryl Green — Administrator · (608) 221-1501
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address535 Southing Grange, Cottage Grove, WI 53527-9338

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