Organization
BELLIN MEMORIAL HOSPITAL INC
Active
Other names
Bellin Health Fast Care Marinette
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (CREDENTIALING SPECIALIST)
(920) 445-7226
Entity
Organization
Contact information
Practice address
3200 SHORE DR, MARINETTE, WI 54143-4202
(715) 732-1392
(715) 732-1393
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52D1054543
CLIA WAIVER
WI
Enumeration date
03/09/2007
Last updated
04/06/2022
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