St Clare Memorial Hospital, INC

NPI #1467583278 in Oconto, Wisconsin

Provider Information

NPI Number: 1467583278
Entity Type: Organization
Organization Name: St Clare Memorial Hospital, INC
Subpart: Yes (part of a larger organization)
Parent Organization: ST CLARE MEMORIAL HOSPITAL, INC
Primary Specialty: Family Medicine
Enumeration Date: Mar 7, 2007
Last Updated: Sep 2, 2014

Practice Location

Address: 103 1ST ST
City: Oconto
State: Wisconsin
ZIP Code: 54153-1117
Phone: (920) 835-1144

Authorized Official

Name: DANIEL DEGROOT
Title: CEO
Phone: (920) 846-3444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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