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GREEN LAKE MEDICAL CLINIC , S.C.
NPI 1306986716
Family Medicine in Green Lake, WI

Active since February 07, 2007
N6205 BUSSE DRIVE, GREEN LAKE, WI 54941(920) 294-3444(920) 294-6660 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Green Lake Medical Clinic , S.c. NPPES

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

GREEN LAKE MEDICAL CLINIC , S.C. (NPI 1306986716) is a healthcare organization registered as a family medicine in Green Lake, Wisconsin and active in the NPI registry since February 2007. The organization lists Thomas Rice Willett, President, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1306986716
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREEN LAKE MEDICAL CLINIC , S.C.
Location AddressN6205 BUSSE DRIVEGreen Lake, WI 54941
Mailing AddressN6205 Busse Drive, Po Box 429Green Lake, WI 54941 · (920) 294-3444 · Fax (920) 294-6660
Phone(920) 294-3444
Fax(920) 294-6660
Organization SubpartNo
Authorized OfficialThomas Rice WillettPresident · (920) 294-3444
Enumeration DateFebruary 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1306986716 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 · 17659
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.

N6205 BUSSE DRIVE, Green Lake, WI 54941
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Other Identifiers 1

Medicaid30071600WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

Reviews for GREEN LAKE MEDICAL CLINIC , S.C.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

GREEN LAKE MEDICAL CLINIC
Clinical Medical Laboratory
N6205 BUSSE DRIVE
GREEN LAKE, WI 54941
Green Lake County (920) 294-3444

Frequently Asked Questions

What is GREEN LAKE MEDICAL CLINIC , S.C.'s NPI number?

The NPI number assigned to this healthcare provider is 1306986716, enumerated as an "organization" on February 07, 2007.

Where is the provider located?

The provider is located at N6205 BUSSE DRIVE GREEN LAKE, WI 54941 and the phone number is (920) 294-3444.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does GREEN LAKE MEDICAL CLINIC , S.C. accept?

The provider might be accepting Accepts: Quartz, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.