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Cmh Primary Care Clinic Moutain-Physician Dispensary

Family Medicine Physician in Mountain, WI · enumerated 2007 · authorized official Douglas Gremban, Physician Dispensary.

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

National Provider Identifier

1962533455

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Registry record

Entity type Organization (Type 2)
Legal business name Cmh Primary Care Clinic Moutain-Physician Dispensary
Other name <Unavail>
Practice address 14353 Hwy 32 & 64, Mountain, WI, 54149
Phone (715) 276-1600
Fax (715) 276-1800
Enumeration date Mar 8, 2007
Last updated in NPPES Dec 23, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 23967-020 (WI) Primary

Authorized official

Name Douglas Gremban
Title Physician Dispensary
Phone (715) 276-1600

Other identifiers

Identifier Type State Issuer
5128904 Other WI NCPDP
395585708005 Other WI GREMBAN BC
31756500 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-12-23. Verify at npiregistry.cms.hhs.gov.
Where is Cmh Primary Care Clinic Moutain-Physician Dispensary located?
The practice location on file with NPPES is in Mountain, WI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-23.