Organization
HOLY FAMILY MEMORIAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GRAF (VICE PRESIDENT)
(920) 320-3451
Entity
Organization
Contact information
Practice address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-3500
Mailing address
N74W12501 LEATHERWOOD CT, MENOMONEE FALLS, WI 53051-4490
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163450
—
WI
05
—
32946000
—
WI
Enumeration date
04/28/2008
Last updated
12/18/2025
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