| Directcare | |
|
911 Green Bay Rd Ste 103 Sturgeon Bay WI 54235-3814 | |
| (920) 746-4565 | |
| Not Available |
| Full Name | Directcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 911 Green Bay Rd Ste 103, Sturgeon Bay, Wisconsin |
| Authorized Official Name and Position | Andrew S Laluzerne (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9207463729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Directcare 911 Green Bay Rd Ste 103 Sturgeon Bay WI 54235-3814 Ph: () - | Directcare 911 Green Bay Rd Ste 103 Sturgeon Bay WI 54235-3814 Ph: (920) 746-4565 |
| NPI Number | 1326748104 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 03/31/2023 |
| Medicare PECOS PAC ID | 5395735088 |
|---|---|
| Medicare Enrollment ID | O20230516001615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326748104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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