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Organization

NORTHREACH HEALTHCARE, LLC

Active
Other names
Internal Medicine of Marinette
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL HIPKE (DIRECTOR OF BUSINESS SERVICES)
(715) 732-2078
Entity
Organization

Contact information

Practice address
3123 SHORE DR, SUITE 102, MARINETTE, WI 54143-4287
(715) 732-2299
(715) 732-2419
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21250800
WI
Enumeration date
01/30/2007
Last updated
03/14/2017
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