NPI 1033406012

Mj Care

Organisation Health Maintenance Organization Green Bay, WI

Practice location

Address: 711 Winford Ave, Green Bay, WI 54303-4023
Phone: (920) 321-4467

Authorised official

Name: Linda Marx
Title: Pta
Phone: (920) 321-4467

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 1736-019 (WI)

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Registry record

NPI: 1033406012
Entity type: Organization
NPI issued: 29 Jun 2011
Record last updated: 29 Jun 2011

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.