Organization
BESIADA HEALTH INNOVATORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BESIADA HANSEN OTR (OWNER)
(920) 491-9079
Entity
Organization
Contact information
Practice address
1600 SHAWANO AVE, STE 106E, GREEN BAY, WI 54303-3246
(920) 491-9079
(920) 491-9082
Mailing address
1600 SHAWANO AVE, SUITE 106E, GREEN BAY, WI 54303-3246
(920) 491-9079
(920) 491-9082
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
07/10/2009
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