WELLINGTON PROVIDER GROUP PC - NPI 1720784242 - Family Medicine in Milwaukee, WI

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Wellington Provider Group Pc NPPES

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

WELLINGTON PROVIDER GROUP PC (NPI 1720784242) is a healthcare organization registered as a family medicine in Milwaukee, Wisconsin and active in the NPI registry since February 2023. The organization lists Mariela Bravo, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1720784242

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWELLINGTON PROVIDER GROUP PC

Location Address1433 N WATER ST STE 400Milwaukee, WI 53202-2603

Mailing Address535 Wellington Way Ste 330Lexington, KY 40503-1331 · (859) 518-8817 · Fax (859) 201-1084

Phone(859) 518-8817

Fax(859) 201-1084

Organization SubpartYes

Authorized OfficialMariela BravoCredentialing Specialist · (859) 518-8817

Enumeration DateFebruary 6, 2023

NPPES CertifiedFebruary 6, 2023

✔ NPI 1720784242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

1433 N WATER ST STE 400, Milwaukee, WI 53202

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP