Organization
SHEBOYGAN WOMEN'S HEALTH, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD GLENN MARTIN M.D. (PRESIDENT/OWNER)
(920) 458-4419
Entity
Organization
Contact information
Practice address
1621 N TAYLOR DR STE 300, SHEBOYGAN, WI 53081-1992
(920) 458-4419
(920) 458-7516
Mailing address
1621 N TAYLOR DR STE 300, SHEBOYGAN, WI 53081-1992
(920) 458-4419
(920) 458-7516
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
435890
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32882800
—
WI
Enumeration date
10/20/2006
Last updated
08/22/2020
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