Bellin Memorial Hospital INC
Pediatrics in De Pere, WI. Organization (NPI-2).
NPI number1235192592
StatusActive
Last updated in NPPESOct 18, 2021
Details
- NPI
- 1235192592
- Entity type
- Organization (NPI-2)
- Legal business name
- Bellin Memorial Hospital INC
- Organization subpart
- No
- Enumeration date
- Apr 8, 2006
- Certification date
- Oct 18, 2021
- Last updated
- Oct 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Other names
- Fmc Pediatrics East (Doing Business As)
Practice location
555 Redbird CirDe Pere, WI 54115-7977
Phone 920-338-6820
Mailing address
555 Redbird CirSuite 200
De Pere, WI 54115-7977
Phone 920-338-6820
Authorized official
Denise K Stroobants
Credentialing Specialist
9204337864
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