Organization · NPI-2
Apple Medical Clinic Sc
Clinic/Center, Multi-Specialty · Appleton, WI
NPI number1174714653
StatusActive
Last updated in NPPESMay 9, 2022
Details
- NPI
- 1174714653
- Entity type
- Organization (NPI-2)
- Legal business name
- Apple Medical Clinic Sc
- Organization subpart
- No
- Enumeration date
- Aug 8, 2007
- Certification date
- May 9, 2022
- Last updated
- May 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 111NN0400X | Chiropractor, Neurology | – | – | |
| 207Q00000X | Family Medicine | – | – |
Practice location
2000 S Memorial Dr Ste 201Appleton, WI 54915-1237
Phone 920-739-6971
Mailing address
2000 S Memorial Dr Ste 201Appleton, WI 54915-1237
Phone 920-739-6971
Authorized official
Michael Lee Johnson
President
9207396971
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