Healthcare Provider Details

I. General information

NPI: 1265371793
Provider Name (Legal Business Name): REFORMEDICINE, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 VANDEBERG ST STE A
BALDWIN WI
54002-3251
US

IV. Provider business mailing address

3004 GOLF RD STE 100
EAU CLAIRE WI
54701-8794
US

V. Phone/Fax

Practice location:
  • Phone: 715-569-8302
  • Fax: 888-606-1323
Mailing address:
  • Phone: 715-514-7939
  • Fax: 888-606-1323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID JOHN USHER
Title or Position: PRESIDENT
Credential: MD
Phone: 715-514-2827