Organization
BELLIN MEMORIAL HOSPITAL INC. DBA FMC MANITOWOC
Active
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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