Healthcare Provider Details

I. General information

NPI: 1790626240
Provider Name (Legal Business Name): GUO CLINIC, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 W RIDGEVIEW DR
APPLETON WI
54911-1254
US

IV. Provider business mailing address

2521 MEADOW BREEZE CT
GREEN BAY WI
54311-9006
US

V. Phone/Fax

Practice location:
  • Phone: 920-221-0852
  • Fax: 877-682-7694
Mailing address:
  • Phone: 920-265-5727
  • Fax: 877-682-7694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DANZHU GUO
Title or Position: PRESIDENT
Credential: MD
Phone: 920-265-5727