Kaukauna Clinic, S.C. in Kaukauna - Family Medicine
Kaukauna Clinic, S.C. - NPI 1457317273
Kaukauna Clinic, S.C. is a Family Medicine in Kaukauna, Wisconsin. Kaukauna Clinic, S.C. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kaukauna Clinic, S.C. is 1457317273. The last update date is 2020-08-22.
Kaukauna Clinic, S.C.'s current location address is 305 E 12th St, Kaukauna, Wisconsin. You can contact this provider via phone number 9207664656 and fax number 9207664659. The mailing address for Kaukauna Clinic, S.C. is 305 E 12th St, Kaukauna, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kaukauna Clinic, S.C. |
|---|---|
| Address | 305 E 12th St, Kaukauna, Wisconsin |
| Phone Number | 9207664656 |
| Fax Number | 9207664659 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Danz R Bruce |
| Credentials | MD |
| Telephone Number | 9207664656 |
NPI Number Detail
| NPI Number | 1457317273 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 305 E 12th St |
|---|---|
| City | Kaukauna |
| State | Wisconsin (WI) |
| Post Code | 541302865 |
| Phone Number | 9207664656 |
| Fax Number | 9207664659 |
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 |
|---|---|---|---|
| 32792500 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kaukauna Clinic, S.C.?
The Kaukauna Clinic, S.C. has been issued the NPI (National Provider Identifier) 1457317273 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kaukauna Clinic, S.C.?
The Kaukauna Clinic, S.C. is physically situated at 305 E 12Th St, in the city of Kaukauna, state of WI, with the postal code 541302865.
What is the area of specialization for Kaukauna Clinic, S.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kaukauna Clinic, S.C. is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Kaukauna Clinic, S.C. receive its 1457317273 assignment from the Centers for Medicare & Medicaid Services?
The Kaukauna Clinic, S.C. was assigned its 1457317273 by the Centers for Medicare & Medicaid Services on 2006-04-21.
As of what date were the details related to Kaukauna Clinic, S.C. most recently updated or revised?
The information pertaining to Kaukauna Clinic, S.C., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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