| Fmc Depere West | |
|
1800 Lawrence Dr De Pere WI 54115-9108 | |
| (920) 983-3220 | |
| Not Available |
| Full Name | Fmc Depere West |
|---|---|
| Speciality | Family Medicine |
| Location | 1800 Lawrence Dr, De Pere, 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 Depere West 1800 Lawrence Dr De Pere WI 54115-9108 Ph: (920) 983-3220 | Fmc Depere West 1800 Lawrence Dr De Pere WI 54115-9108 Ph: (920) 983-3220 |
| NPI Number | 1053374314 |
|---|---|
| Provider Enumeration Date | 04/08/2006 |
| Last Update Date | 10/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053374314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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