Healthcare Provider Details

I. General information

NPI: 1255744025
Provider Name (Legal Business Name): URGENT CARE PHYSCIANS, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2014
Last Update Date: 06/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3329 EXPRESS CT
APPLETON WI
54915-3278
US

IV. Provider business mailing address

3329 EXPRESS CT
APPLETON WI
54915-3278
US

V. Phone/Fax

Practice location:
  • Phone: 920-733-5900
  • Fax: 920-733-5901
Mailing address:
  • Phone: 920-733-5900
  • Fax: 920-733-5901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BOBBY B YUN
Title or Position: OWNER
Credential: MD
Phone: 920-268-3461