Organization
WINNEBAGO COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS GIERYN B.S. (DIRECTOR/HEALTH OFFICER)
(920) 232-3000
Entity
Organization
Contact information
Practice address
725 BUTLER AVE, WINNEBAGO, WI 54985-0068
(920) 232-3000
(920) 303-3023
Mailing address
PO BOX 68, 725 BUTLER AVE, WINNEBAGO, WI 54985-0068
(920) 232-3000
(920) 303-3023
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41855400
—
WI
05
—
43082500
—
WI
05
—
43104000
—
WI
05
—
44003400
—
WI
Enumeration date
09/30/2005
Last updated
10/29/2008
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