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Organization

COMMUNITY HEALTH NETWORK INC

Active
Other names
CHN Orthopedics & Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
JAYNE A PLAGENZ (DIRECTOR)
(920) 361-5341
Entity
Organization

Contact information

Practice address
191 MEMORIAL DR, BERLIN, WI 54923-1241
(920) 361-2500
(920) 361-2973
Mailing address
191 MEMORIAL DR, BERLIN, WI 54923-1241
(920) 361-2500
(920) 361-2973

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
22113
WI

Other

Enumeration date
05/11/2012
Last updated
05/11/2012
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