| NPI | 1689694911 |
|---|---|
| Doing Business As | ST VINCENT HOSPITAL PHYSICIAN SERVICE GROUP |
| Entity Type | Organization |
| Authorized Contact | PATRICIA ALLEN CFO 920-884-5660 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2021-12-23 |