Organization
SHEBOYGAN PHYSICIANS GROUP, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY RENZELMANN (ADMINISTRATOR)
(920) 452-6000
Entity
Organization
Contact information
Practice address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 452-6000
(920) 803-2990
Mailing address
2920 SUPERIOR AVE, SHEBOYGAN, WI 53081-1944
(920) 452-6000
(920) 803-2990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
Other
Enumeration date
04/10/2012
Last updated
10/11/2022
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