Organization
ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC.-HOSPITAL SISTERS
Active
Parent organization
ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC.-HOSPITAL SISTERS
Other names
St. Mary's Hospital Outpatient Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC.-HOSPITAL SISTERS
Authorized official
BRIAN CHARLIER (CEO/PRESIDENT)
(920) 676-1148
Entity
Organization
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3282
(920) 498-4200
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3282
(920) 498-4200
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
12/22/2021
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