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

Individual provider Family Medicine Physician · NPI 1669456463

Loren C Fuglestad, MD is a Family Practice in Green Bay, Wisconsin. Graduated from University of Wisconsin School of Medicine in 1993, 33 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
33
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2005
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

2714 Riverview Dr
Green Bay, WI 54313-6715
Phone: (920) 430-4760
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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 · Licence 35673 (WI)

Record details

NPI number1669456463
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESFebruary 19, 2015

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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