Green Lake Medical Clinic

  • 1316087885 NPI Number
  • |
  • Actived: 17 years ago
  • |
Green Lake Medical Clinic is a health care provider based in Green Lake, WI. The NPI Number is 1316087885 and it has been active since 17 years ago. The specialty is Clinical Medical Laboratory, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Clinical Medical Laboratory services, Green Lake Medical Clinic is an excellent option. We are here to help you get the care you need.

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Overview of Green Lake Medical Clinic

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 02/07/2007
  • Last updated: 08/22/2020

Primary Scrop of Practice

  • Taxonomy Code: 291U00000X
  • Specialty: Clinical Medical Laboratory
  • License Number: 17659
  • License State: WI

Provider Mailing Address

  • Address: Po Box 429
    N6205 Busse Drive
    Green Lake, WI 54941
  • Phone: 920-294-3444
  • Fax: 920-294-6660

Provider Practice Location

  • Address: N6205 Busse Drive
    Green Lake, WI 54941
  • Phone: 920-294-3444
  • Fax: 920-294-6660

Authorized Official

  • Name: DR. Thomas Rice Willett D.O.
  • Position/Title: President
  • Telephone Number: 920-294-3444

Scope of Practice

  • Taxonomy Code: 291U00000X
  • Specialty: Clinical Medical Laboratory
  • License Number: 17659
  • License State: WI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 30071600
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Green Lake Medical Clinic?
  • A: The npi number for Green Lake Medical Clinic is 1316087885.
  • Q: What are Green Lake Medical Clinic's specialties?
  • A: Green Lake Medical Clinic's specialties are Clinical Medical Laboratory and different specialities.
  • Q: Where is Green Lake Medical Clinic business practice location?
  • A: Green Lake Medical Clinic business practice location is N6205 Busse Drive, Green Lake, WI 54941.
  • Q: How to contact Green Lake Medical Clinic?
  • A: You can contact Green Lake Medical Clinic via 920-294-3444.
  • Q: What is the authorized official for Green Lake Medical Clinic?
  • A: The authorized office name is DR. Thomas Rice Willett D.O. with position/title is President and you can reach the authorized official via phone number 9202943444.
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