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3200 Shore Dr Marinette WI 54143-4202 | |
(715) 732-1392 | |
(715) 732-1393 |
Full Name | |
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Speciality | Family Medicine |
Location | 3200 Shore Dr, Marinette, Wisconsin |
Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 9204457226 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 22487 Green Bay WI 54305-2487 Ph: (920) 445-7222 | 3200 Shore Dr Marinette WI 54143-4202 Ph: (715) 732-1392 |
NPI Number | 1881726529 |
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Provider Enumeration Date | 03/09/2007 |
Last Update Date | 04/06/2022 |
Identifier | Type | State | Issuer |
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1881726529 | NPI | - | NPPES |
52D1054543 | Other | WI | CLIA WAIVER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Northreach Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Shore Dr, Northreach Healthcare Llc, Marinette, WI 54143 Phone: 715-732-2075 Fax: 715-732-2072 | |
Medexpress Primary Care Wisconsin, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Hall Ave, Suite H, Marinette, WI 54143 Phone: 304-225-2500 | |