| NPI | 1891740585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE K STROOBANTS Clinic/Provider Maintenance 920-433-7864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: WI 147) |
| Additional Taxonomies | 261QR0207X Clinic/Center, Radiology, Mobile Mammography |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2021-06-25 |