NPI Registry.org

NPI Registration Record

Provider / OrganizationNPIDate Certified
16796769360000-00-00

The organization is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1679676936.

Other Names:
Offices / Locations
AddressCity / StatePhone / Fax
1900 Woodland Dr Manitowoc, WI 542209662 9203206212 / 9206845548
HPT Codes
CodePractice
License No
State
OPI Codes
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