# BELLIN MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bellin Health Sports Medicine and Orthopedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114398849
- **Authorized official:** DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (920) 433-7864

## Contact information

- **Practice address:** 1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
- **Practice address phone:** (920) 593-5555
- **Practice address fax:** (920) 593-5549
- **Mailing address:** PO BOX 22487, GREEN BAY, WI 54305-2487
- **Mailing address phone:** (920) 445-7222
- **Mailing address fax:** (920) 445-7229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | WI | Yes |

## Other

- **Enumeration date:** 10/07/2015
- **Last updated:** 10/18/2021