Green Lake Medical Clinic , S.c.
NPI 1306986716 · Family Medicine Physician · Green Lake, WI
Green Lake Medical Clinic , S.c. is a Family Medicine Physician organization in Green Lake, WI (NPI 1306986716).
Provider details
- NPI number
- 1306986716
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Willett, President(920) 294-3444
- License
- 17659 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2020-08-22
Frequently asked questions
- What is Green Lake Medical Clinic , S.c.'s NPI number?
- Green Lake Medical Clinic , S.c.'s National Provider Identifier (NPI) is 1306986716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Lake Medical Clinic , S.c.?
- Green Lake Medical Clinic , S.c. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Green Lake Medical Clinic , S.c. located?
- Green Lake Medical Clinic , S.c.'s practice location on file with NPPES is N6205 Busse Drive, Green Lake, WI 54941.
- What is Green Lake Medical Clinic , S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Green Lake Medical Clinic , S.c. is (920) 294-3444.
- Who is the authorized official for Green Lake Medical Clinic , S.c.?
- The authorized official listed on Green Lake Medical Clinic , S.c.'s NPPES record is Thomas Willett, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Lake Medical Clinic , S.c.'s NPI active?
- Yes — Green Lake Medical Clinic , S.c.'s NPI (1306986716) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.