Holy Family Memorial Inc | |
2300 Western Ave Manitowoc WI 54220-3712 | |
(952) 653-2565 | |
(952) 653-2540 |
Full Name | Holy Family Memorial Inc |
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Speciality | Family Medicine |
Location | 2300 Western Ave, Manitowoc, Wisconsin |
Authorized Official Name and Position | Mark Paul Herzog (ADMINISTRATION) |
Authorized Official Contact | 9293203470 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Holy Family Memorial Inc 2300 Western Ave Manitowoc WI 54220-3712 Ph: (952) 653-2565 | Holy Family Memorial Inc 2300 Western Ave Manitowoc WI 54220-3712 Ph: (952) 653-2565 |
NPI Number | 1659848505 |
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Provider Enumeration Date | 10/30/2018 |
Last Update Date | 10/30/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659848505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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