Organization
NORTHREACH HEALTHCARE LAB AND XRAY
Active
Organization
NORTHREACH HEALTHCARE LAB AND XRAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN NOGLER MD (DIRECTOR)
(715) 735-8046
Entity
Organization
Contact information
Practice address
3123 SHORE DR, SUITE 103, MARINETTE, WI 54143-4287
(715) 735-8046
(715) 735-8047
Mailing address
3123 SHORE DR, SUITE 103, MARINETTE, WI 54143-4287
(715) 735-8046
(715) 735-8047
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
52-D0394498
WI
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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