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Organization
NORTHREACH HEALTHCARE LLC
Active
Organization
NORTHREACH HEALTHCARE LLC
Active
Other names
AFTER HOURS CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 445-7226
Entity
Organization
Contact information
Practice address
1106 UNIVERSITY DR, SUITE 102, MARINETTE, WI 54143-5110
(715) 732-2075
(715) 735-0895
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52D2038176
CLINIC CLIA
WI
Enumeration date
01/18/2012
Last updated
03/14/2017
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