Senior Doc Wisconsin SC
Senior Doc Wisconsin SC provides Family Medicine Physician services in Orange, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2592 N Santiago BlvdOrange, CA 92867-1862
Phone: (855) 434-7763
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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 |
|---|
Record details
| NPI number | 1932954260 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angelica Contact — Credentialing · (855) 434-7763 |
| NPI enumerated | April 19, 2024 |
| Last updated in NPPES | October 11, 2024 |
| Certification date | October 11, 2024 |
| Mailing address | 2592 N Santiago Blvd, Orange, CA 92867-1862 |
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