NPI 1942465430

Healthcare Clinic and Wellness Center

Organisation Health Maintenance Organization Green Bay, WI

Practice location

Address: 835 Potts Ave, Green Bay, WI 54304-4535
Phone: (920) 491-9079
Mailing address: 51 W. Walnut St., Sturgeon Bay, WI 54235

Authorised official

Name: Karen Besiada-Hansen
Title: Owner/Occupational Therapist
Phone: (920) 818-0424

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1942465430
Entity type: Organization
NPI issued: 23 Jul 2008
Record last updated: 23 Jul 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.