| Bellin Health Fast Care Manitowoc | |
|
3415 Calumet Ave Manitowoc WI 54220-5427 | |
| (920) 445-7377 | |
| Not Available |
| Full Name | Bellin Health Fast Care Manitowoc |
|---|---|
| Speciality | Family Medicine |
| Location | 3415 Calumet Ave, Manitowoc, Wisconsin |
| Authorized Official Name and Position | Denise K Stroobants (CLINIC PROVIDER MAINTENANCE) |
| Authorized Official Contact | 9204457222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellin Health Fast Care Manitowoc 3415 Calumet Ave Manitowoc WI 54220-5427 Ph: (920) 445-7377 | Bellin Health Fast Care Manitowoc 3415 Calumet Ave Manitowoc WI 54220-5427 Ph: (920) 445-7377 |
| NPI Number | 1992878730 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 05/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992878730 | NPI | - | NPPES |
| 21305700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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