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2500 Hall Ave Suite B Marinette WI 54143 | |
(715) 732-7700 | |
(715) 732-7766 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 2500 Hall Ave Suite B, Marinette, Wisconsin |
Authorized Official Name and Position | Robin Gerald Elsner (HEALTH & HUMAN SERVICES DIRECTOR) |
Authorized Official Contact | 7157327700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2500 Hall Ave Suite B Marinette WI 54143 Ph: (715) 732-7700 | 2500 Hall Ave Suite B Marinette WI 54143 Ph: (715) 732-7700 |
NPI Number | 1063581759 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 09/27/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063581759 | NPI | - | NPPES |
43426900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (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 | |