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

Paddock Lake Family Practice, SC

Organization Family Medicine Physician · NPI 1417919275

Paddock Lake Family Practice, SC provides Family Medicine Physician services in Salem, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

7137 236th Ave Ste 103
Salem, WI 53168-9664 Not confirmed with CMS for 18 years — call before visiting
Phone: (262) 843-4422
Fax: (262) 843-1166
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 number1417919275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Thomas — Billing Manager · (262) 843-2394
NPI enumeratedApril 5, 2006
Last updated in NPPESApril 20, 2008
Mailing address7137 236th Ave, Suite 103, Salem, WI 53168-9664

Other providers in Salem