Organization
MEDEXPRESS PRIMARY CARE WISCONSIN, S.C.
Active
Other names
MedExpress Waupaca Foundry
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R FERRELL MD (PRESIDENT)
(305) 225-2500
Entity
Organization
Contact information
Practice address
3900 HALL AVE, SUITE H, MARINETTE, WI 54143
(304) 225-2500
Mailing address
1001 HORIZON VUE DR, CANONSBURG, PA 15317
(304) 225-2500
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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