NPI 1821700857
Pediatrix Medical Group of Wisconsin, Sc
Practice location
- Address
- 1506 S Oneida St, Appleton, WI 54915-1305
- Phone
- (920) 738-2000
- Mailing address
- 1301 Concord Ter, Sunrise, FL 33323-2843
Authorised official
- Name
- Delores M Gries
- Title
- Director, President
- Phone
- (800) 243-3839
Registered specialties (3)
Neonatal-Perinatal Medicine Physician
Primary
Pediatrics Physician
Neonatal Nurse Practitioner
Registry record
- NPI
- 1821700857
- Entity type
- Organization
- NPI issued
- 21 Dec 2022
- Record last updated
- 21 Dec 2022
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.