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Organization
COMMUNITY HEALTH NETWORK
Active
Organization
COMMUNITY HEALTH NETWORK
Active
Other names
CHN Medical Center EastRidge
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN RUEDINGER (VICE PRESIDENT)
(920) 361-5988
Entity
Organization
Contact information
Practice address
W832 STATE ROAD 91, STE 3, BERLIN, WI 54923-8821
(920) 361-6400
(920) 361-6407
Mailing address
W832 STATE ROAD 91, STE 3, BERLIN, WI 54923-8821
(920) 361-6400
(920) 361-6407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45822
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11011000
—
WI
Enumeration date
03/16/2011
Last updated
07/07/2011
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