NPI 1427216993

Ministry Health Care

Organisation Exclusive Provider Organization Sturgeon Bay, WI

Practice location

Address: 323 South 18th Ave 323 South 18th Ave, Sturgeon Bay, WI 54235-1495
Phone: (262) 285-3483
Mailing address: 323 S 18th Ave, Sturgeon Bay, WI 54235-1401

Authorised official

Name: Gerald Griffith
Title: Physician Assistant
Phone: (920) 743-5566

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 1593 (GA)

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Registry record

NPI: 1427216993
Entity type: Organization
NPI issued: 30 May 2008
Record last updated: 30 May 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.