Organization
WOMEN'S CARE OF WISCONSIN S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC G EBERTS MD (CEO)
(920) 729-7105
Entity
Organization
Contact information
Practice address
200 THEDA CLARK MEDICAL PLZ STE 130, NEENAH, WI 54956-2790
(920) 729-7105
(920) 720-2150
Mailing address
3232 N BALLARD RD STE 100, APPLETON, WI 54911-8804
(920) 729-7105
(920) 831-8306
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
41754-20
WI
207V00000X
Obstetrics & Gynecology Physician
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32890900
—
WI
Enumeration date
06/16/2005
Last updated
04/27/2022
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