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

Wildwood Family Clinic, SC

Organization Family Medicine Physician · NPI 1225115124

Wildwood Family Clinic, SC provides Family Medicine Physician services in Cottage Grove, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

535 Southing Grange
Cottage Grove, WI 53527-9338
Phone: (608) 839-3515
Fax: (608) 839-3541
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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 number1225115124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheryl Green — Administrator · (608) 221-1501
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address535 Southing Grange, Cottage Grove, WI 53527-9338

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