Organization
SSM HEALTH CARE OF WISCONSIN INC
Active
Parent organization
SSM HEALTH ST MARYS HOSPITAL - JANESVILLE
Other names
MEDICAL PROVIDERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH ST MARYS HOSPITAL - JANESVILLE
Authorized official
JOSEPH MINERATH (SYSTEM DIR OF GOV REIMBURSEMENT)
(608) 258-6891
Entity
Organization
Contact information
Practice address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
Mailing address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/18/2014
Last updated
11/27/2023
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