GREEN LAKE MEDICAL CLINIC
NPI 1316087885
Clinical Medical Laboratory in Green Lake, WI
About Green Lake Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREEN LAKE MEDICAL CLINIC (NPI 1316087885) is a healthcare organization registered as a clinical medical laboratory in Green Lake, Wisconsin and active in the NPI registry since February 2007. The organization lists Thomas Rice Willett, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Green Lake Medical Clinic's NPI number?
The NPI number for Green Lake Medical Clinic is 1316087885. It was assigned to this organization in the NPPES registry on February 7, 2007.
Where is Green Lake Medical Clinic located?
Green Lake Medical Clinic is located at N6205 Busse Drive, Green Lake, WI 54941. The listed phone number is (920) 294-3444.
What is Green Lake Medical Clinic's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
When was this NPI record last updated?
The NPPES record for Green Lake Medical Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.