Organization
NORTH REACH HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL P HIPKE (BUSINESS DIRECTOR)
(715) 732-2075
Entity
Organization
Contact information
Practice address
3120 RIVERSIDE AVE, GATE B BUILDING 1, MARINETTE, WI 54143-1123
(715) 732-2075
(715) 732-2152
Mailing address
3120 RIVERSIDE AVE, GATE B BUILDING 1, MARINETTE, WI 54143-1123
(715) 732-2075
(715) 732-2152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
291U00000X
Clinical Medical Laboratory
52D0710136
WI
Other
Enumeration date
10/14/2005
Last updated
11/13/2014
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