NPI 1679948566

Padraic Obma, M.D., S.C.

Organisation Specialist Appleton, WI

Practice location

Address: 2105 E Enterprise Ave Suite 112, Appleton, WI 54913-7862
Phone: (920) 731-3111
Fax: (920) 731-7133

Authorised official

Name: Padraic R Obma
Title: President
Phone: (920) 731-3111

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 51923-20 (WI)

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Registry record

NPI: 1679948566
Entity type: Organization
NPI issued: 3 Dec 2015
Record last updated: 3 Dec 2015

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.