Organization
FROEDTERT HOLY FAMILY HOSPITAL
Active
Organization
FROEDTERT HOLY FAMILY HOSPITAL
Active
Other names
Coulis Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI STRADL (SUPERVISOR)
(920) 320-3000
Entity
Organization
Contact information
Practice address
2631 EASTERN AVE, PLYMOUTH, WI 53073-4270
(920) 476-6350
Mailing address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-3000
(920) 458-9882
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21290500
—
WI
05
—
30521400
—
WI
05
—
31915100
—
WI
Enumeration date
11/22/2006
Last updated
09/27/2022
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