St. Mary's Hospital Medical Center of Green Bay Inc.-Hospital Sisters

NPI #1598150864 in Green Bay, Wisconsin

Provider Information

NPI Number: 1598150864
Entity Type: Organization
Organization Name: St. Mary's Hospital Medical Center of Green Bay Inc.-Hospital Sisters
Subpart: Yes (part of a larger organization)
Parent Organization: ST. MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC.-HOSPITAL SISTERS
Primary Specialty: Family Medicine
Enumeration Date: Apr 2, 2015
Last Updated: Dec 22, 2021

Practice Location

Address: 1727 SHAWANO AVE
City: Green Bay
State: Wisconsin
ZIP Code: 54303-3268
Phone: (920) 498-4200

Authorized Official

Name: BRIAN CHARLIER
Title: COO
Phone: (920) 676-1148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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