# THE TAYO CLINIC, INC.

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

## Provider details

- **NPI number:** 1447040928
- **Authorized official:** ENRIQUE PINA RN, M.ED (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (920) 267-5576

## Contact information

- **Practice address:** 325 3RD ST, MENASHA, WI 54952-2712
- **Practice address phone:** (920) 267-5576
- **Practice address fax:** (812) 203-5057
- **Mailing address:** 4321 W COLLEGE AVE STE 200, APPLETON, WI 54914-3968
- **Mailing address phone:** (920) 267-5576
- **Mailing address fax:** (812) 203-5057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2025
- **Last updated:** 05/08/2025