Organization
NORTHREACH HEALTHCARE, LLC
Active
Other names
Northreach Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL HIPKE (DIRECTOR OF BUSINESS SERVICES)
(715) 732-2078
Entity
Organization
Contact information
Practice address
1106 UNIVERSITY DR, MARINETTE, WI 54143-5110
(715) 735-5272
(715) 735-0895
Mailing address
3120 RIVERSIDE AVE, GATE B BUILDING 1, MARINETTE, WI 54143-1123
(715) 732-2075
(715) 732-2072
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21278200
—
WI
Enumeration date
01/30/2007
Last updated
03/28/2013
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