Organization
360 MEDICAL GROUP WISCONSIN SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES VILLAR (ADMINISTRATOR)
(551) 372-9260
Entity
Organization
Contact information
Practice address
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
(551) 372-9260
Mailing address
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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