Wildwood Family Clinic, Sc in Cottage Grove - Family Medicine
Wildwood Family Clinic, Sc - NPI 1225115124
Wildwood Family Clinic, Sc is a Family Medicine in Cottage Grove, Wisconsin. Wildwood Family Clinic, Sc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wildwood Family Clinic, Sc is 1225115124. The last update date is 2020-08-22.
Wildwood Family Clinic, Sc's current location address is 535 Southing Grange, Cottage Grove, Wisconsin. You can contact this provider via phone number 6088393515 and fax number 6088393541. The mailing address for Wildwood Family Clinic, Sc is 535 Southing Grange, Cottage Grove, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wildwood Family Clinic, Sc |
|---|---|
| Address | 535 Southing Grange, Cottage Grove, Wisconsin |
| Phone Number | 6088393515 |
| Fax Number | 6088393541 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Green Sheryl |
| Telephone Number | 6082211501 |
NPI Number Detail
| NPI Number | 1225115124 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 535 Southing Grange |
|---|---|
| City | Cottage Grove |
| State | Wisconsin (WI) |
| Post Code | 535279338 |
| Phone Number | 6088393515 |
| Fax Number | 6088393541 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32721000 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Wildwood Family Clinic, Sc by the Centers for Medicare & Medicaid Services?
The Wildwood Family Clinic, Sc has been assigned the NPI (National Provider Identifier) 1225115124. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Wildwood Family Clinic, Sc is located?
The Wildwood Family Clinic, Sc is situated at the following address: 535 Southing Grange, Cottage Grove, WI, 535279338.
What is Wildwood Family Clinic, Sc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wildwood Family Clinic, Sc is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Wildwood Family Clinic, Sc receive its 1225115124 assignment from the Centers for Medicare & Medicaid Services?
The Wildwood Family Clinic, Sc was assigned its 1225115124 by the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the Wildwood Family Clinic, Sc's information last updated?
The Wildwood Family Clinic, Sc's information was last updated on 2020-08-22.