# COMMUNITY CLINIC OF DOOR COUNTY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114053048
- **Authorized official:** DR. PETER SIGMANN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (920) 746-8989

## Contact information

- **Practice address:** 1623 RHODE ISLAND ST, STURGEON BAY, WI 54235-1424
- **Practice address phone:** (920) 746-8989
- **Practice address fax:** (920) 746-8960
- **Mailing address:** 1623 RHODE ISLAND ST, P.O. BOX 3, STURGEON BAY, WI 54235-1424
- **Mailing address phone:** (920) 746-8989
- **Mailing address fax:** (920) 746-8960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 261Q00000X | WI | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 42012500 | — | WI |