HOLY FAMILY MEMORIAL INC. NPI 1457580862

NPI Information

HOLY FAMILY MEMORIAL, INC. is a neurology psychiatry neurology in Manitowoc, WI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. HOLY FAMILY MEMORIAL, INC. NPI is 1457580862. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lakeshore Neurology.

The provider's business location address is:

333 REED AVE
MANITOWOC, WI
ZIP 54220-087
Phone: (920) 684-8895
Fax: (920) 684-1384

The provider's authorized official is Mark Herzog .
The authorized official title is Ceo and has the following contact phone number (920) 320-2300.

The enumeration date for this NPI number is 7/7/2009 and was last updated on 7/7/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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