Organization
BELLIN MEMORIAL HOSPITAL INC
Active
Other names
FMC WRIGHTSTOWN
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 433-7864
Entity
Organization
Contact information
Practice address
555 QUALITY COURT, WRIGHTSTOWN, WI 54180
(920) 532-6320
Mailing address
555 QUALITY COURT, WRIGHTSTOWN, WI 54180
(920) 532-6320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52D1021219
CLIA CERTIFICATION
WI
Enumeration date
04/08/2006
Last updated
10/18/2021
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