Organization
MEDEXPRESS PRIMARY CARE WISCONSIN, S.C.
Active
Other names
The Well - Green Bay
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT GALL (DIRECTOR OF PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
2020 INNOVATION CT, DE PERE, WI 54115-6009
(920) 661-4215
(920) 661-4277
Mailing address
1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
(304) 225-2500
(724) 743-1133
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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