St. Clare Memorial Hospital, INC

NPI #1962861294 in Marinette, Wisconsin

Provider Information

NPI Number: 1962861294
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: Surgery
Enumeration Date: Feb 15, 2016
Last Updated: Dec 23, 2021

Practice Location

Address: 1409 CLEVELAND AVE
City: Marinette
State: Wisconsin
ZIP Code: 54143-3918
Phone: (920) 965-7411

Authorized Official

Name: DANIEL DEGROOT
Title: COO
Phone: (920) 846-4581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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