NPI 1003115064

Community Health Network INC

Organisation Family Medicine Physician Ripon, WI

Practice location

Address: 1080 W Fond Du Lac St, Ripon, WI 54971-9286
Phone: (920) 748-7000
Fax: (920) 748-7236
Mailing address: PO Box 307, Ripon, WI 54971-0307

Authorised official

Name: Steven Ruedinger
Title: Vice President
Phone: (920) 361-5988

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 20430 (WI)

Other Family Medicine providers in Wisconsin →

Registry record

NPI: 1003115064
Entity type: Organization
NPI issued: 16 Mar 2011
Record last updated: 12 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.