Unknown Individual – Family Medicine Physician, NPI 1689667891
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
W3124 VAN ROY RD
APPLETON, WI 549153982
Phone: (920) 730-2747
Fax: (920) 730-2207
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54915)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| Sports Medicine, Family Practice | WI |
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