Organization
NORTHREACH HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES P QUARTANA (CEO)
(715) 732-2075
Entity
Organization
Contact information
Practice address
3100 SHORE DR, NORTHREACH HEALTHCARE LLC, MARINETTE, WI 54143
(715) 732-2075
(715) 732-2072
Mailing address
3100 SHORE DR, NORTHREACH HEALTHCARE LLC, MARINETTE, WI 54143-4242
(715) 732-2075
(715) 732-2072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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