NPI 1518134980

Besiada Health Innovators, LLC

Organisation Health Maintenance Organization Green Bay, WI

Practice location

Address: 1600 Shawano Ave STE 106e, Green Bay, WI 54303-3246
Phone: (920) 491-9079
Fax: (920) 491-9082
Mailing address: 1600 Shawano Ave Suite 106e, Green Bay, WI 54303-3246

Authorised official

Name: Karen Besiada Hansen
Title: Owner
Phone: (920) 491-9079

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1518134980
Entity type: Organization
NPI issued: 14 May 2008
Record last updated: 10 Jul 2009

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.