NPI 1033155924

Northern Lights Clinic Sc

Organisation Otolaryngology Physician Marinette, WI

Practice location

Address: 3200 Shore Dr, Marinette, WI 54143-4292
Phone: (715) 735-3187
Fax: (715) 735-7072
Mailing address: 3200 Shore Dr PO Box 437, Marinette, WI 54143-4292

Authorised official

Name: Lorrence a Hnatuk
Title: President
Phone: (715) 735-3187

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Wisconsin →

Registry record

NPI: 1033155924
Entity type: Organization
NPI issued: 21 Jun 2006
Record last updated: 18 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.