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

Antigo Medical Building, LLC

Organization Family Medicine Physician · NPI 1396575353

Antigo Medical Building, LLC provides Family Medicine Physician services in Antigo, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1111 Langlade Rd
Antigo, WI 54409-2787
Phone: (715) 623-3761
Fax: (715) 623-3764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1396575353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Undeen — Credentialing Specialist · (239) 427-1257
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address1111 Langlade Rd, Antigo, WI 54409-2787

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