Antigo Medical Building, LLC
NPI 1396575353 · Family Medicine Physician · Antigo, WI
Antigo Medical Building, LLC is a Family Medicine Physician organization in Antigo, WI (NPI 1396575353).
Provider details
- NPI number
- 1396575353
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michelle Undeen, Credentialing Specialist(239) 427-1257
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
1 yr 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
- 2024-08-05
- Last updated
- 2024-08-05
- Certified
- 2024-08-05
Frequently asked questions
- What is Antigo Medical Building, LLC's NPI number?
- Antigo Medical Building, LLC's National Provider Identifier (NPI) is 1396575353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Antigo Medical Building, LLC?
- Antigo Medical Building, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Antigo Medical Building, LLC located?
- Antigo Medical Building, LLC's practice location on file with NPPES is 1111 Langlade Rd, Antigo, WI 54409-2787.
- What is Antigo Medical Building, LLC's phone number?
- The practice phone number listed in the NPPES registry for Antigo Medical Building, LLC is (715) 623-3761.
- Who is the authorized official for Antigo Medical Building, LLC?
- The authorized official listed on Antigo Medical Building, LLC's NPPES record is Michelle Undeen, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Antigo Medical Building, LLC's NPI active?
- Yes — Antigo Medical Building, LLC's NPI (1396575353) is active in the NPPES registry as of the last update on 2024-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.