| Fmc Manitowoc | |
|
3415 Custer St Suite D Manitowoc WI 54220-4356 | |
| (920) 652-9310 | |
| Not Available |
| Full Name | Fmc Manitowoc |
|---|---|
| Speciality | Family Medicine |
| Location | 3415 Custer St, Manitowoc, 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 Manitowoc 3415 Custer St Suite D Manitowoc WI 54220-4356 Ph: (920) 652-9310 | Fmc Manitowoc 3415 Custer St Suite D Manitowoc WI 54220-4356 Ph: (920) 652-9310 |
| NPI Number | 1427294701 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 10/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427294701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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