NPI 1154318657
Winnebago County
Practice location
- Address
- 725 Butler Ave, Winnebago, WI 54985-0068
- Phone
- (920) 232-3000
- Fax
- (920) 303-3023
- Mailing address
- PO Box 68 725 Butler Ave, Winnebago, WI 54985-0068
Authorised official
- Name
- Douglas Gieryn
- Title
- Director/Health Officer
- Phone
- (920) 232-3000
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1154318657
- Entity type
- Organization
- NPI issued
- 30 Sep 2005
- Record last updated
- 29 Oct 2008
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.