| Fmc Bellin Health Fast Care Green Bay East | |
|
1976 Lime Kiln Rd Green Bay WI 54311-4417 | |
| (920) 406-9865 | |
| (920) 406-9867 |
| Full Name | Fmc Bellin Health Fast Care Green Bay East |
|---|---|
| Speciality | Family Medicine |
| Location | 1976 Lime Kiln Rd, 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 |
|---|---|
| Fmc Bellin Health Fast Care Green Bay East Po Box 22487 Green Bay WI 54305-2487 Ph: (920) 445-7222 | Fmc Bellin Health Fast Care Green Bay East 1976 Lime Kiln Rd Green Bay WI 54311-4417 Ph: (920) 406-9865 |
| NPI Number | 1346293941 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 10/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346293941 | NPI | - | NPPES |
| 1033172390 | Medicaid | WI | |
| 52D1054543 | Other | WI | CLIA WAIVER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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