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Organization
BELLIN HEALTH IRON MOUNTAIN INC
Active
Organization
BELLIN HEALTH IRON MOUNTAIN INC
Active
Other names
Bellin Health Internal Medicine Nephrology Iron Mountain
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 445-7226
Entity
Organization
Contact information
Practice address
1711 S STEPHENSON AVE STE 225, IRON MOUNTAIN, MI 49801-3652
(906) 776-5860
(906) 776-5833
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
—
NULL
207RN0300X
Nephrology Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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