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

Individual provider Family Medicine Physician · NPI 1770558264

Dr. Mauricio E Palencia, MD is a Family Practice in Plymouth, Wisconsin. Qualified in 1989, 37 years ago. Practices with Aamg Reach PLLC, a 53-clinician group. Licensed in Wisconsin.

Years since qualifying
37
Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2600 Kiley Way
Plymouth, WI 53073-5020
Phone: (920) 449-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 43429 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 43429 (WI)

Record details

NPI number1770558264
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 20, 2006
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Aamg Reach Pllc — 53 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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