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Organization

BELLIN MEMORIAL HOSPITAL INC

Active
Other names
FMC PEDIATRICS WEST
Organization subpart
No

Provider details

NPI number
Authorized official
DENISE K STROOBANTS (PROVIDER/CLINIC MAINTENANCE)
(920) 445-7222
Entity
Organization

Contact information

Practice address
124 SIEGLER ST, GREEN BAY, WI 54303-2636
(920) 497-7771
Mailing address
124 SIEGLER ST, GREEN BAY, WI 54303-2636
(920) 497-7771

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32857000
WI
Enumeration date
04/08/2006
Last updated
05/20/2008
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