Organization
COMMUNITY HEALT NETWORK
Active
Other names
CHN Medical Center - Redgranite
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE PLAGENZ (DIRECTOR OF OPERATIONS)
(920) 361-5431
Entity
Organization
Contact information
Practice address
402 PRESTON LN, REDGRANITE, WI 54970-9350
(920) 566-0637
(920) 566-0638
Mailing address
402 PRESTON LN, REDGRANITE, WI 54970-9350
(920) 566-0637
(920) 566-0638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11011000
—
WI
Enumeration date
04/04/2012
Last updated
04/04/2012
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