MICHAEL FAUDREE MD
NPI 1306874680
Family Medicine in Black Creek, WI

Q: What is Michael Faudree's NPI number?

The NPI number for Michael Faudree is 1306874680. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Michael Faudree's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Faudree was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 28, 2006

400 S MAPLE ST, BLACK CREEK, WI 54106(920) 984-3361(920) 984-4092 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Faudree Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL FAUDREE MD (NPI 1306874680) is an individual family medicine provider in Black Creek, Wisconsin, licensed in Wisconsin (19672) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1306874680

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMICHAEL FAUDREECredential: MD

Location Address400 S MAPLE STBlack Creek, WI 54106-9787

Mailing AddressPo Box 8003Appleton, WI 54912-8003 · (920) 996-3298 · Fax (920) 738-5787

Phone(920) 984-3361

Fax(920) 984-4092

Sole ProprietorNo

Enumeration DateJune 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306874680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 19672

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

400 S MAPLE ST, Black Creek, WI 54106

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Other Identifiers 2

Medicaid30136600WI

Medicare UPINB52716

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA MARIE WELLENS

Nurse Practitioner (Family)

400 S MAPLE ST
BLACK CREEK, WI 54106

Outagamie County (920) 984-3361

KARI SHELDON MD

Family Medicine

400 S MAPLE ST
BLACK CREEK, WI 54106

Outagamie County (920) 984-3361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Faudree's NPI number?

The NPI number for Michael Faudree is 1306874680. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Michael Faudree located?

Michael Faudree practices at 400 S Maple St, Black Creek, WI 54106. The listed phone number is (920) 984-3361.

What is Michael Faudree's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Michael Faudree was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.