Organization
BELLIN MEMORIAL HOSPITAL INC
Active
Other names
BELLIN HEALTH FAST CARE MANITOWOC
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE K STROOBANTS (CLINIC PROVIDER MAINTENANCE)
(920) 445-7222
Entity
Organization
Contact information
Practice address
3415 CALUMET AVE, MANITOWOC, WI 54220-5427
(920) 445-7377
Mailing address
3415 CALUMET AVE, MANITOWOC, WI 54220-5427
(920) 445-7377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21305700
—
WI
Enumeration date
11/17/2006
Last updated
05/04/2009
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