Organization
WELLBE WISCONSIN SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY KANG MD (CEO)
(312) 776-2412
Entity
Organization
Contact information
Practice address
209 S CENTRAL AVE STE 300, MARSHFIELD, WI 54449-2836
(312) 776-2412
Mailing address
225 W WASHINGTON ST STE 1700, CHICAGO, IL 60606-3404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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