# BELLIN HEALTH IRON MOUNTAIN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bellin Health Urology Iron Mountain
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770072498
- **Authorized official:** DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (920) 445-7226

## Contact information

- **Practice address:** 1005 S HEMLOCK ST STE B, IRON MOUNTAIN, MI 49801-3854
- **Practice address phone:** (906) 774-8110
- **Practice address fax:** (906) 779-4675
- **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 |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2018
- **Last updated:** 05/08/2018