Full Name | |
---|---|
Speciality | Family Medicine |
Location | 103 1st St, Oconto, Wisconsin |
Authorized Official Name and Position | Daniel Degroot (CEO) |
Authorized Official Contact | 9208463444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
103 1st St Oconto WI 54153-1117 Ph: (920) 835-1144 | 103 1st St Oconto WI 54153-1117 Ph: (920) 835-1144 |
NPI Number | 1467583278 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 09/02/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467583278 | NPI | - | NPPES |
1477750644 | Other | NPI FOX | |
1851477913 | Other | CMH NPI | |
1760462352 | Other | NPI KNUTSON | |
1215024716 | Other | NPI BIRK | |
11014110 | Medicaid | WI |
Oconto County Health And Human Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Park Ave, Oconto, WI 54153 Phone: 920-834-7000 | |
Bellin Health Oconto Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-1100 | |