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2720 Cahill Rd Marinette WI 54143-3869 | |
(715) 732-0330 | |
(715) 732-9988 |
Full Name | |
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Speciality | Family Medicine |
Location | 2720 Cahill Rd, Marinette, Wisconsin |
Authorized Official Name and Position | Charles P Quartana (CEO) |
Authorized Official Contact | 7157322075 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2720 Cahill Rd Marinette WI 54143-3869 Ph: (715) 732-0330 | 2720 Cahill Rd Marinette WI 54143-3869 Ph: (715) 732-0330 |
NPI Number | 1376680645 |
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Provider Enumeration Date | 01/30/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376680645 | NPI | - | NPPES |
32894300 | Medicaid | WI |
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 | |