Healthcare Provider Details

I. General information

NPI: 1467228353
Provider Name (Legal Business Name): NEW INFECTIOUS DISEASES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2023
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 E ENTERPRISE AVE STE B
APPLETON WI
54913-7656
US

IV. Provider business mailing address

2700 E ENTERPRISE AVE STE B
APPLETON WI
54913-7656
US

V. Phone/Fax

Practice location:
  • Phone: 920-260-3905
  • Fax: 920-260-3904
Mailing address:
  • Phone: 920-260-3905
  • Fax: 920-260-3904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: CORINNE KLEIN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 920-260-3905