NPI | 1417993361 |
---|---|
Former Legal Business Name | FORT ATKINSON MEMORIAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | SHELBY WALLING Credentialing Specialist 920-563-4466 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 103T00000X Psychologist |
1041C0700X Social Worker, Clinical | |
152W00000X Optometrist | |
207N00000X Dermatology | |
207Q00000X Family Medicine | |
207V00000X Obstetrics & Gynecology | |
207W00000X Ophthalmology | |
207X00000X Orthopaedic Surgery | |
207Y00000X Otolaryngology | |
208600000X Surgery | |
208800000X Urology | |
208D00000X General Practice | |
231H00000X Audiologist | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-06-21 |
Last Update Date | 2022-10-07 |