| Bellin Health | |
|
2015 Shawano Ave Green Bay WI 54303-2606 | |
| (920) 592-9478 | |
| (920) 592-9479 |
| Full Name | Bellin Health |
|---|---|
| Speciality | Family Medicine |
| Location | 2015 Shawano Ave, Green Bay, Wisconsin |
| Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9204337864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellin Health Po Box 22487 Green Bay WI 54305-2487 Ph: (920) 445-7222 | Bellin Health 2015 Shawano Ave Green Bay WI 54303-2606 Ph: (920) 592-9478 |
| NPI Number | 1407033111 |
|---|---|
| Provider Enumeration Date | 01/24/2008 |
| Last Update Date | 10/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407033111 | NPI | - | NPPES |
| 52D1054543 | Other | WI | CLIA WAIVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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