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Organization
NORTHREACH HEALTHCARE LLC
Active
Organization
NORTHREACH HEALTHCARE LLC
Active
Other names
Peshtigo Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL HIPKE (DIRECTOR OF BUSINESS SERVICES)
(715) 732-2078
Entity
Organization
Contact information
Practice address
441 FRENCH ST, PESHTIGO, WI 54157-1203
(715) 582-9949
(715) 582-4464
Mailing address
3120 RIVERSIDE AVE, GATE B BUILDING 1, MARINETTE, WI 54143-1123
(715) 732-2075
(715) 732-2072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43060200
—
WI
Enumeration date
05/14/2008
Last updated
03/29/2013
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