| Northshore Clinic Llc | |
|
805 N 6th St Sheboygan WI 53081-4113 | |
| (920) 457-8866 | |
| (920) 457-8867 |
| Full Name | Northshore Clinic Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 805 N 6th St, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Patricia A Brinkman (CLINIC DIRECTOR) |
| Authorized Official Contact | 9204578866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Clinic Llc 805 N 6th St Sheboygan WI 53081-4113 Ph: (920) 457-8866 | Northshore Clinic Llc 805 N 6th St Sheboygan WI 53081-4113 Ph: (920) 457-8866 |
| NPI Number | 1154675924 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 11/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154675924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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