| St. Nicholas Hospital-sisters Of The Third Order Of St. Francis | |
|
950 Woodlake Rd Kohler WI 53044-1348 | |
| (920) 496-4700 | |
| Not Available |
| Full Name | St. Nicholas Hospital-sisters Of The Third Order Of St. Francis |
|---|---|
| Speciality | General Practice |
| Location | 950 Woodlake Rd, Kohler, Wisconsin |
| Authorized Official Name and Position | Justin Selle (PRESIDENT AND CEO) |
| Authorized Official Contact | 9204964700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Nicholas Hospital-sisters Of The Third Order Of St. Francis Po Box 19070 Green Bay WI 54307-9070 Ph: (920) 496-4700 | St. Nicholas Hospital-sisters Of The Third Order Of St. Francis 950 Woodlake Rd Kohler WI 53044-1348 Ph: (920) 496-4700 |
| NPI Number | 1407202831 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407202831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Wisconsin) | Secondary |
| 247100000X | Radiologic Technologist | (Wisconsin) | Secondary |
| 208D00000X | General Practice | (Wisconsin) | Primary |