| Organization Name: | BELLIN MEMORIAL HOSPITAL |
| NPI Number: | 1629260625 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENISE K STROOBANTS (CLINIC PROVIDER MAINTENANCE) |
| Mailing Address: | 1630 Commanche Ave Green Bay |
| State: | WI US |
| Postal Code: | 543136089 |
| Phone Number: | 9204304560 |
| Fax Number: | 9204304558 |
| NPI Enumeration Date: | 08/14/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |