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Organization
CHC OF WISCONSIN
Active
Organization
CHC OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE DIGERONIMO ADMIN (ADMIN BILLING)
(516) 708-1349
Entity
Organization
Contact information
Practice address
1120 E NAWADA ST, APPLETON, WI 54911-5271
(920) 810-2372
Mailing address
1120 E NAWADA ST, APPLETON, WI 54911-5271
(920) 810-2372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
12/15/2023
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