Organization
BAY AREA MEDICAL CENTER
Active
Organization
BAY AREA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA HANSON (OFFICE ASSISTANT)
(715) 732-5111
Entity
Organization
Contact information
Practice address
3117 SHORE DR, SUITE 101, MARINETTE, WI 54143-4293
(715) 732-5111
(715) 732-0628
Mailing address
3117 SHORE DR, SUITE 101, MARINETTE, WI 54143-4293
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
12157-24
WI
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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