Organization
BELLIN MEMORIAL HOSPITAL INC
Active
Other names
FMC LUXEMBURG
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 445-7222
Entity
Organization
Contact information
Practice address
140 B SCHOOL CREEK TRL, LUXEMBURG, WI 54217-1095
(920) 845-1370
Mailing address
140 B SCHOOL CREEK TRL, LUXEMBURG, WI 54217-1095
(920) 845-1370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21289300
—
WI
01
—
52D1048462
CLIA CERT
WI
Enumeration date
04/06/2006
Last updated
03/17/2020
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