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

Mayville Family Practice LLC

Organization Family Medicine Physician · NPI 1154821387

Mayville Family Practice LLC provides Family Medicine Physician services in West Bend, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5595 County Road Z
West Bend, WI 53095-9224
Phone: (262) 339-3038
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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 48218-21 (WI)

Record details

NPI number1154821387
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Sammis — Physician/Owner · (262) 339-3033
NPI enumeratedFebruary 14, 2018
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address3545 Martha Ct, West Bend, WI 53095-8792

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