Organization
BELLIN MEMORIAL HOSPITAL INC
Active
Other names
Bellin Health Fast Care West, FMC BELLIN HEALTH FAST CARE ASHWAUBENON
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 433-7864
Entity
Organization
Contact information
Practice address
2015 SHAWANO AVE, GREEN BAY, WI 54303-2606
(920) 592-9478
(920) 592-9479
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
10/18/2021
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