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St Clare Memorial Hospital, Inc
Family Nurse Practitioner in Gillett, Wisconsin
NPI 1134250905

St Clare Memorial Hospital, Inc is a Family Nurse Practitioner based in Oconto Falls, WI and is specialized in Family. St Clare Memorial Hospital, Inc practices in Gillett, WI. The NPI Number for St Clare Memorial Hospital, Inc is 1134250905 and holds a License No. 38713-020 (Wisconsin).

The current practice location address for St Clare Memorial Hospital, Inc is 340 N Green Bay Ave, Gillett, WI and can be reached out via phone at 920-855-2823 and via fax at 920-855-6343.

Location: 340 N Green Bay Ave, Gillett, WI, 54154-1241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134250905
Provider Name
St Clare Memorial Hospital, Inc
Credential
Provider Entity Type
Organization
Address
340 N Green Bay Ave, Gillett, WI, 54154-1241
Phone Number
920-855-2823
Fax Number
920-855-6343
Provider Enumeration Date
03/07/2007
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1851477913 01 CMH NPI
11014110 05 WI
1639340995 01 WI BOUCHER NPI
1710966288 01 WI MALTINSKI NPI
institution
Provider Business Practice Location Address Details
Address
340 N Green Bay Ave
City
Gillett
State
Wisconsin
Zip
54124-9325
Phone Number
920-855-2823
Fax Number
920-855-6343
person
Provider Business Mailing Address Details
Address
340 N Green Bay Ave
City
Gillett
State
Wisconsin
Zip
54124-9325
Phone Number
920-855-2823
Fax Number
920-855-6343
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
38713-020 (Wisconsin)
Definition
Definition to come...
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