Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Prairie Du Chien Memorial Hospital Assoc Inc

Organization Family Medicine Physician · NPI 1760808968

Prairie Du Chien Memorial Hospital Assoc Inc provides Family Medicine Physician services in Fennimore, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.

Licensed in
WI
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1800 Bronson Blvd
Fennimore, WI 53809-9778
Phone: (608) 822-2940
Fax: (608) 822-2949
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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 HSAT-7QXLRW (WI)

Record details

NPI number1760808968
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Brophy — Ceo · (608) 357-2000
NPI enumeratedMarch 12, 2014
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing address1800 Bronson Blvd, Fennimore, WI 53809-9778

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