Whalio Doctors

NPI 1396183372

Lakeshore Cap, INC.

Organisation Public Health or Welfare Agency Manitowoc, WI

Practice location

Address
702 State St, Manitowoc, WI 54220-4034
Phone
(920) 682-3737
Fax
(920) 686-8700
Mailing address
702 State St PO Box 2315, Manitowoc, WI 54220-4034

Authorised official

Name
Michael Vette Huck
Title
Ceo
Phone
(920) 686-8705

Registered specialties

Public Health or Welfare Agency Primary
Agencies Taxonomy 251K00000X

Registry record

NPI
1396183372
Entity type
Organization
NPI issued
12 Jun 2013
Record last updated
12 Jun 2013

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.