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Sequoia Integrative Medical Services LLC

Geriatric Medicine (Family Medicine) Physician in Kaukauna, WI · enumerated 2020 · authorized official Mary Friess, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790312171

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Registry record

Entity type Organization (Type 2)
Legal business name Sequoia Integrative Medical Services LLC
Practice address 1746 Paul Dr, Kaukauna, WI, 54130
Phone (920) 422-7402
Enumeration date Mar 25, 2020
Last updated in NPPES Apr 17, 2026

Taxonomy & classification

104100000X Social Worker Behavioral Health & Social Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Mary Friess
Title President
Phone (920) 422-7402

Other identifiers

Identifier Type State Issuer
36015700 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Sequoia Integrative Medical Services LLC?
NPPES lists Mary Friess (President) as the authorized official for this organization.
What is the NPI number for Sequoia Integrative Medical Services LLC?
The NPI for Sequoia Integrative Medical Services LLC is 1790312171, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-17.