Community Memorial Hospital, Incorporated
Community Memorial Hospital, Incorporated is a Surgery Physician in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.
- Licensed in
- WI
- In the registry since
- 2011
Practice location Address checks out
1726 Shawano AveGreen Bay, WI 54303-3216
Phone: (920) 360-3787
Fax: (888) 848-0225
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 39597-20 (WI) |
|---|
Record details
| NPI number | 1093096224 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Community Memorial Hospital, Incorporated |
| Authorized official | Daniel Degroot — Ceo · (920) 846-3444 |
| Other names | D/B/A Breast Surgery Experts Of Northeast Wisconsin Llc |
| NPI enumerated | September 1, 2011 |
| Last updated in NPPES | January 13, 2012 |
| Mailing address | 25630 Network Pl, Chicago, IL 60673-1256 |
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