Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

St Clare Memorial Hospital, Inc

Organization Surgery Physician · NPI 1093173791

St Clare Memorial Hospital, Inc is a Surgery Physician in Green Bay, Wisconsin. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 S Webster Ave
Green Bay, WI 54301-3508
Phone: (920) 965-7411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1093173791
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Clare Memorial Hospital, Inc
Authorized official Daniel Degroot — Coo · (920) 846-4581
Other names Hshs Sco Regional Surgery Center Green Bay; Hshs Sco Regional Surgery Center Green Bay
NPI enumeratedFebruary 9, 2016
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021
Mailing address853 S Main St, Oconto Falls, WI 54154-1241

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