# GASTROINTESTINAL SPECIALISTS SC

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

## Provider details

- **NPI number:** 1174692677
- **Authorized official:** DR. MARY MCDONALD (VICE PRESIDENT)
- **Authorized official phone:** (920) 426-2211

## Contact information

- **Practice address:** 130 2ND ST, SUITE N157, NEENAH, WI 54956-2883
- **Practice address phone:** (920) 426-2211
- **Practice address fax:** (920) 426-2231
- **Mailing address:** 3420 JACKSON ST, SUITE E, OSHKOSH, WI 54901-8144
- **Mailing address phone:** (920) 426-2211
- **Mailing address fax:** (920) 426-2231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 08/22/2020