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Organization
BELLIN MEMORIAL HOSPITAL INC
Active
Organization
BELLIN MEMORIAL HOSPITAL INC
Active
Other names
DBA CLINICA HISPANA
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 445-7222
Entity
Organization
Contact information
Practice address
704 S WEBSTER AVE STE 201, GREEN BAY, WI 54301-3528
(920) 433-3410
(920) 433-3419
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21312700
—
WI
Enumeration date
06/26/2007
Last updated
04/06/2022
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