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744 S Webster Ave Green Bay WI 54301-3505 | |
(920) 445-7226 | |
(920) 445-7229 |
Full Name | |
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Speciality | Family Medicine |
Location | 744 S Webster Ave, Green Bay, Wisconsin |
Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 9204337864 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 22487 Green Bay WI 54305-2487 Ph: (920) 445-7210 | 744 S Webster Ave Green Bay WI 54301-3505 Ph: (920) 445-7226 |
NPI Number | 1033172390 |
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Provider Enumeration Date | 04/08/2006 |
Last Update Date | 01/19/2024 |
Medicare PECOS PAC ID | 8820900749 |
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Medicare Enrollment ID | O20210115001583 |
Identifier | Type | State | Issuer |
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1033172390 | NPI | - | NPPES |
0P38340 | Other | MI | MI MEDICARE |
000000215 | Other | WI | WI MEDICARE |
243966 | Other | US DEPARTMENT OF HEALTH AND HUMAN SERVICES FDA MAMMOGRAPHY CERTIFICATION |
3d Brows And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Hoffman Rd Ste 106, Green Bay, WI 54301 Phone: 920-277-6989 | |