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

Medexpress Primary Care Wisconsin, SC

Organization General Practice Physician · NPI 1073105896

Medexpress Primary Care Wisconsin, SC provides General Practice Physician services in Waupaca, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

N2610 State Road 22 Ste 2
Waupaca, WI 54981-8264
Phone: (304) 225-2500
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1073105896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Gall — Director Payor Contracting · (304) 225-2500
Other names Waupaca Foundry
NPI enumeratedFebruary 4, 2021
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021
Mailing address1001 Consol Energy Dr, Canonsburg, PA 15317-6506