Organization · Type 2 NPI

ST Vincent Hospital-Hospital Sisters-Third Order of ST Francis

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Green Bay, WI

NPI number 1629051990 Active

Practice location

1920 Libal St
Green Bay, WI 54301-2471

Fax (920) 433-8765

Mailing address

PO Box 13508
Green Bay, WI 54307-3508

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1629051990

ST Vincent Hospital-Hospital Sisters-Third Order of ST Francis's National Provider Identifier is 1629051990, issued on Nov 21, 2005. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Green Bay, WI. The record was last updated on Dec 23, 2021.