| Organization Name: | THE DOC AT YOUR DOOR,LLC |
| NPI Number: | 1104138882 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA M DEMERY (PRESIDENT) |
| Mailing Address: | N9554 Highline Rd Kaukauna |
| State: | WI US |
| Postal Code: | 541308502 |
| Phone Number: | 9202779716 |
| Fax Number: | 9207666802 |
| NPI Enumeration Date: | 07/09/2010 |
| NPI Last Update Date: | 11/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | 32560 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |