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744 S Webster Ave Green Bay WI 54301-3505 | |
(920) 433-3655 | |
(920) 433-3539 |
Full Name | |
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Speciality | Rehabilitation Unit |
Location | 744 S Webster Ave, Green Bay, Wisconsin |
Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 9204337864 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 22487 Green Bay WI 54305-2487 Ph: (920) 445-7222 | 744 S Webster Ave Green Bay WI 54301-3505 Ph: (920) 433-3655 |
NPI Number | 1174689178 |
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Provider Enumeration Date | 12/28/2006 |
Last Update Date | 01/26/2021 |
Medicare PECOS PAC ID | 8820900749 |
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Medicare Enrollment ID | O20060830000332 |
Identifier | Type | State | Issuer |
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1174689178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
273Y00000X | Rehabilitation Unit | 147 (Wisconsin) | Primary |
3d Brows And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Hoffman Rd Ste 106, Green Bay, WI 54301 Phone: 920-277-6989 | |