Organization
NEW MEDICAL CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL L BLOHOWIAK DC (PRESIDENT)
(920) 324-9899
Entity
Organization
Contact information
Practice address
160 GATEWAY DR, STE A, WAUPUN, WI 53963-2276
(920) 324-9899
(920) 324-9898
Mailing address
160 GATEWAY DR, STE A, WAUPUN, WI 53963-2276
(920) 324-9899
(920) 324-9898
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/23/2019
Last updated
05/05/2022
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