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

Wild Rose Community Memorial Hospital Inc Dba Waushara Family Physicia

Organization Family Medicine Physician · NPI 1720029804

Wild Rose Community Memorial Hospital Inc Dba Waushara Family Physicia provides Family Medicine Physician services in Wild Rose, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
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

601 Grove Ave
Wild Rose, WI 54984-0243 Not confirmed with CMS for 13 years — call before visiting
Phone: (920) 622-5560
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 number1720029804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Caves — President · (920) 622-5576
NPI enumeratedJune 9, 2006
Last updated in NPPESMarch 18, 2013
Mailing address701 Grove Ave, Wild Rose, WI 54984-0243

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