Organization
BROWN COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY HILLMANN (CONTRACT AND PROVIDER RELATIONS MGR)
(920) 448-6237
Entity
Organization
Contact information
Practice address
111 N. JEFFERSON STREET, GREEN BAY, WI 54301
(920) 448-6237
Mailing address
111 N. JEFFERSON STREET, GREEN BAY, WI 54301
(920) 448-6237
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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