# MINISTRY HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427216993
- **Authorized official:** MR. GERALD GRIFFITH (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (920) 743-5566

## Contact information

- **Practice address:** 323 SOUTH 18TH AVE, 323 SOUTH 18TH AVE, STURGEON BAY, WI 54235-1495
- **Practice address phone:** (262) 285-3483
- **Mailing address:** 323 S 18TH AVE, STURGEON BAY, WI 54235-1401
- **Mailing address phone:** (920) 743-5566
- **Mailing address fax:** (800) 522-8919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 1593 | GA | Yes |

## Other

- **Enumeration date:** 05/30/2008
- **Last updated:** 05/30/2008