Organization
INTEGRITY MEDICAL GROUP, S.C.
Active
Other names
New London Emergency Physicians. S.c.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY B RASOR M.D. (PRESIDENT)
(920) 982-2491
Entity
Organization
Contact information
Practice address
1370 N. SHAWANO ST, STE A, NEW LONDON, WI 54961-7943
(920) 531-1100
(920) 531-8310
Mailing address
1370 N. SHAWANO ST, STE A, NEW LONDON, WI 54961-7943
(920) 531-1100
(920) 531-8310
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
27767-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21302700
—
WI
Enumeration date
06/17/2006
Last updated
09/03/2009
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