Community Medical Center of Green Lake, LLC
Community Medical Center of Green Lake, LLC provides Family Medicine Physician services in Green Lake, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.
- Licensed in
- WI
- In the registry since
- 2008
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
670 County Road AGreen Lake, WI 54941 Not confirmed with CMS for 12 years — call before visiting
Phone: (920) 294-0100
Fax: (920) 294-0123
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 44378 (WI) |
|---|
Record details
| NPI number | 1568622280 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Krystowiak — Chief Financial Officer · (920) 361-1313 |
| Other names | Chn Medical Center Green Lake |
| NPI enumerated | June 16, 2008 |
| Last updated in NPPES | May 2, 2014 |
| Mailing address | 670 County Road A, Green Lake, WI 54941 |
Other providers in Green Lake
-
Green Lake Medical Clinic , SC
N6205 Busse Dr, Green Lake, WI 54941 · (920) 294-3444
-
Jared M. Kohlenberg, DO
670 County Road A, Green Lake, WI 54941-8608 · (920) 294-0100
-
Courtney McClintic, MD
670 County Road A, Green Lake, WI 54941-8608 · (920) 294-0100
-
Dr. Thomas Rice Willett, DO
N6205 Busse Rd, Green Lake, WI 54941-8500 · (920) 294-3444