Home » Wisconsin » 54124 » The Caring Doctor, Llc

The Caring Doctor, Llc

The Caring Doctor, Llc is a health care provider in Krakow, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 340 N Green Bay Ave, Gillett, WI 54124-9325, US
Practice Location Phone920-855-2823
Practice Location Fax920-855-6343
Legal Business NameTHE CARING DOCTOR, LLC
NPI ?1962622522
Entity TypeOrganization
Enumeration Date ? Apr 26, 2007
Last Update Date ? Sep 11, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of The Caring Doctor, Llc

SpecialtySpecializationLicenseLicense State
Family Medicine 38713-020Wisconsin

legacy-id-icon Legacy Provider IDs of The Caring Doctor, Llc

Provider IdIssuer StateIssuer TypeIssuer
32368600WisconsinMedicaid
1710966288WisconsinOtherGENADI MALTINSKI

official-icon Authorized Official of The Caring Doctor, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the The Caring Doctor, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Genadi Maltinski (M.D.)
Authorized Official Title/PositionCEO
Authorized Official Phone Number920-855-2823