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    • Howard E. Feingold, MD
    • John Fox, MD
    • Annette Hils, MD
    • Marci Johns, APRN
    • Ana May, MD
    • Daniel A. Nosek, MD
    • Christina Taylor, APRN
    • Michael P. Wanger, MD
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    • Home
    • About Us
      • Howard E. Feingold, MD
      • John Fox, MD
      • Annette Hils, MD
      • Marci Johns, APRN
      • Ana May, MD
      • Daniel A. Nosek, MD
      • Christina Taylor, APRN
      • Michael P. Wanger, MD
    • Services
      • Outpatient and Inpatient
      • Remote Patient Monitoring
      • Chronic Care Management
      • Prevention and Wellness
      • Diseases and Conditions
    • Contact / Location
      • Contact Us
      • Jeffords Location
      • Lakeview Location
    • Forms and Policies
      • New Patient Inquiry
      • Office Visit Forms
      • Policies and Forms
    • Patient Portal
    • Bill Pay
  • Home
  • About Us
    • Howard E. Feingold, MD
    • John Fox, MD
    • Annette Hils, MD
    • Marci Johns, APRN
    • Ana May, MD
    • Daniel A. Nosek, MD
    • Christina Taylor, APRN
    • Michael P. Wanger, MD
  • Services
    • Outpatient and Inpatient
    • Remote Patient Monitoring
    • Chronic Care Management
    • Prevention and Wellness
    • Diseases and Conditions
  • Contact / Location
    • Contact Us
    • Jeffords Location
    • Lakeview Location
  • Forms and Policies
    • New Patient Inquiry
    • Office Visit Forms
    • Policies and Forms
  • Patient Portal
  • Bill Pay

New Patient Inquiry Form

Lakeview Location


Howard Feingold, MD

Marci Johns, ARNP

Michael Wanger, MD


Lakeview

Jeffords Location


John Fox, MD

Annette Hils, MD

Anna May, MD

Daniel Nosek, MD

Christina Taylor, ARNP

Jeffords

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