Organization
NORTHREACH HEALTHCARE LLC
Active
Other names
NorthReach Fast Care
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL HIPKE (DIRECTOR OF BUSINESS SERVICES)
(715) 732-2078
Entity
Organization
Contact information
Practice address
2741 ROOSEVELT RD, MARINETTE, WI 54143-3833
(715) 732-1392
Mailing address
PO BOX 1866, GREEN BAY, WI 54305-1866
(920) 445-7226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/04/2012
Last updated
03/14/2017
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