# SHEBOYGAN WOMEN'S HEALTH, S.C.

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

## Provider details

- **NPI number:** 1679655377
- **Authorized official:** DR. CLIFFORD GLENN MARTIN M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (920) 458-4419

## Contact information

- **Practice address:** 1621 N TAYLOR DR STE 300, SHEBOYGAN, WI 53081-1992
- **Practice address phone:** (920) 458-4419
- **Practice address fax:** (920) 458-7516
- **Mailing address:** 1621 N TAYLOR DR STE 300, SHEBOYGAN, WI 53081-1992
- **Mailing address phone:** (920) 458-4419
- **Mailing address fax:** (920) 458-7516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 435890 | WI | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 08/22/2020