Full Name | |
---|---|
Speciality | Clinic/center - Student Health |
Location | 100 Grant St, De Pere, Wisconsin |
Authorized Official Name and Position | Denise K Stroobants (CLINIC PROVIDER CREDENTIALING) |
Authorized Official Contact | 9204457222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
100 Grant St De Pere WI 54115-2002 Ph: (920) 403-3266 | 100 Grant St De Pere WI 54115-2002 Ph: (920) 403-3266 |
NPI Number | 1225287691 |
---|---|
Provider Enumeration Date | 09/10/2008 |
Last Update Date | 09/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225287691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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