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Organization

ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS

Active
Parent organization
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Other names
Prevea Health ENT
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Authorized official
PATTY ALLEN (CFO)
(920) 496-4700
Entity
Organization

Contact information

Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
01/14/2021
Last updated
08/24/2022
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