Organization
ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS
Active
Parent organization
ST. NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCIS
Other names
Prevea Sheboygan Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCIS
Authorized official
MR. JOHN WAGNER (MARKET COO)
(920) 496-4700
Entity
Organization
Contact information
Practice address
3113 SAEMANN AVE, SHEBOYGAN, WI 53081-1957
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
WI
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
WI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
WI
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
208800000X
Urology Physician
—
—
208M00000X
Hospitalist Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100059046
—
WI
Enumeration date
08/06/2008
Last updated
11/21/2025
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