OrganizationActive
Creekside Family Medicine, LLC
NPI 1558610063 · Health Service Clinic/Center · Appleton, WI
Provider details
- NPI number
- 1558610063
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Heiks, Sole Member(330) 466-4431
- License
- 35097870 (OH)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3608 N Bracken Dr
Appleton, WI 54911-8504
Phone: (330) 466-4431
Approximate (ZIP-level) locationGet directions
Mailing address
3608 N Bracken Dr
Appleton, WI 54911-8504
Registry dates
- Enumerated
- 2012-08-30
- Last updated
- 2014-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.