Individual provider · NPI-1

Dr. Samuel Beschta, MD

Family Medicine · Appleton, WI

NPI number1881277549
StatusActive
Last updated in NPPESSep 20, 2023

Details

NPI
1881277549
Entity type
Individual (NPI-1)
Name
Dr. Samuel Beschta
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 30, 2021
Certification date
Sep 20, 2023
Last updated
Sep 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine77820WIYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

W5282 Amy Ave
Appleton, WI 54915-7233

Phone 920-358-1000

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070

Phone 920-358-1000

Other practice locations

229 S Morrison St
Appleton, WI 54911-5725

Phone 920-832-2783

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