Northern Lights Clinic Sc

NPI #1033155924 in Marinette, Wisconsin

Provider Information

NPI Number: 1033155924
Entity Type: Organization
Organization Name: Northern Lights Clinic Sc
Primary Specialty: Otolaryngology
Enumeration Date: Jun 21, 2006
Last Updated: Oct 18, 2010

Practice Location

Address: 3200 SHORE DR
City: Marinette
State: Wisconsin
ZIP Code: 54143-4292
Phone: (715) 735-3187

Authorized Official

Name: LORRENCE A HNATUK, MD
Title: PRESIDENT
Phone: (715) 735-3187

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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