# NORTHREACH HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northreach Internal Medicine Partners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205973575
- **Authorized official:** CAROL HIPKE (DIRECTOR OF BUSINESS SERVICES)
- **Authorized official phone:** (715) 732-2075

## Contact information

- **Practice address:** 2935 SHORE DR, MARINETTE, WI 54143-4237
- **Practice address phone:** (715) 732-9193
- **Practice address fax:** (715) 732-9196
- **Mailing address:** PO BOX 22487, GREEN BAY, WI 54305-2487
- **Mailing address phone:** (920) 445-7226
- **Mailing address fax:** (920) 445-7229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 03/14/2017