Organization
BELLIN MEMORIAL HOSPITAL INC. DBA FMC MANITOWOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER KORDIYAK M.D. (PRESIDENT)
(920) 482-9394
Entity
Organization
Contact information
Practice address
1765 N 18TH ST, MANITOWOC, WI 54220-1868
(920) 482-9394
(920) 482-0579
Mailing address
1765 N 18TH ST, PO BOX 520, MANITOWOC, WI 54220-1868
(920) 482-9394
(920) 482-0579
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
30743-020
WI
Other
Enumeration date
01/29/2008
Last updated
01/23/2009
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