Organization
THE TAYO CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE PINA RN, M.ED (EXECUTIVE DIRECTOR)
(920) 267-5576
Entity
Organization
Contact information
Practice address
325 3RD ST, MENASHA, WI 54952-2712
(920) 267-5576
(812) 203-5057
Mailing address
4321 W COLLEGE AVE STE 200, APPLETON, WI 54914-3968
(920) 267-5576
(812) 203-5057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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