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Organization
NORTHWOODS FAMILY PHYSICAL MEDICINE OF WISCONSIN, S.C.
Active
Organization
NORTHWOODS FAMILY PHYSICAL MEDICINE OF WISCONSIN, S.C.
Active
Other names
Northwoods Family Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY SCARLASSARA DC (CLINIC DIRECTOR)
(920) 301-3024
Entity
Organization
Contact information
Practice address
2360A DUCK CREEK PKWY STE 2, GREEN BAY, WI 54303-3377
(920) 301-3024
(920) 301-3049
Mailing address
2360A DUCK CREEK PKWY STE 2, GREEN BAY, WI 54303-3377
(920) 301-3024
(920) 301-3049
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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