Organization
BELLIN MEMORIAL HOSPITAL INC
Active
Parent organization
BELLIN MEMORIAL HOSPITAL INC
Other names
BELLIN CANCER TEAM
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLIN MEMORIAL HOSPITAL INC
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 433-7864
Entity
Organization
Contact information
Practice address
1580 COMMANCHE AVE, GREEN BAY, WI 54313
(920) 430-4653
Mailing address
1580 COMMANCHE AVE, GREEN BAY, WI 54313
(920) 430-4653
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21322200
—
WI
Enumeration date
04/18/2008
Last updated
10/18/2021
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