Organization Name: | MINISTRY MEDICAL GROUP OCCUPATIONAL MEDICINE |
NPI Number: | 1003069428 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM J HINNER (REGIONAL VP FINANACE) |
Mailing Address: | 5412 Us Highway 10 E Stevens Point |
State: | WI US |
Postal Code: | 544828559 |
Phone Number: | 7153465243 |
Fax Number: | 7153465419 |
NPI Enumeration Date: | 10/29/2008 |
NPI Last Update Date: | 04/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QX0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Occupational Medicine |
Taxonomy Definition: |