Dr Holly R Ortman, MD | |
3003 University Dr, Marinette, WI 54143-4110 | |
(715) 735-4200 | |
Not Available |
Full Name | Dr Holly R Ortman |
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Gender | Female |
Speciality | Surgery |
Location | 3003 University Dr, Marinette, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326538042 | NPI | - | NPPES |
100095161 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 72144 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
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Dr Holly R Ortman, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (715) 735-4200 | Dr Holly R Ortman, MD 3003 University Dr, Marinette, WI 54143-4110 Ph: (715) 735-4200 |
Dr. J Bryan Flynn, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3130 Shore Dr, Marinette, WI 54143 Phone: 715-735-7421 Fax: 715-735-4601 | |
Micheline Hyacinthe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-4200 | |
Dr. Michael M Karkkainen, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 3003 University Dr Ste 102, Marinette, WI 54143 Phone: 715-735-8056 |