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3123 Shore Dr Suite 102 Marinette WI 54143-4287 | |
(715) 732-2299 | |
(715) 732-2419 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3123 Shore Dr, Marinette, Wisconsin |
Authorized Official Name and Position | Carol Hipke (DIRECTOR OF BUSINESS SERVICES) |
Authorized Official Contact | 7157322078 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 22487 Green Bay WI 54305-2487 Ph: (920) 445-7226 | 3123 Shore Dr Suite 102 Marinette WI 54143-4287 Ph: (715) 732-2299 |
NPI Number | 1285771550 |
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Provider Enumeration Date | 01/30/2007 |
Last Update Date | 03/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285771550 | NPI | - | NPPES |
21250800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Northreach Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Shore Dr, Northreach Healthcare Llc, Marinette, WI 54143 Phone: 715-732-2075 Fax: 715-732-2072 | |
Medexpress Primary Care Wisconsin, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Hall Ave, Suite H, Marinette, WI 54143 Phone: 304-225-2500 | |