Healthcare Provider Details

I. General information

NPI: 1023452943
Provider Name (Legal Business Name): FAMILY HEALTH CENTER OF MARSHFIELD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2013
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 N SAINT JOSEPH AVE
MARSHFIELD WI
54449-1340
US

IV. Provider business mailing address

PO BOX 18298
PALATINE IL
60055-8298
US

V. Phone/Fax

Practice location:
  • Phone: 888-533-2684
  • Fax:
Mailing address:
  • Phone: 888-533-2684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: GREGORY NYCZ
Title or Position: CEO
Credential:
Phone: 608-217-7484