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SHEBOYGAN WOMEN'S HEALTH S.C. NPI 1679655377


NPI Information

NPI: 1679655377
Provider Name: SHEBOYGAN WOMEN'S HEALTH, S.C.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1621 N TAYLOR DR STE 300
SHEBOYGAN, WI
ZIP 53081
Phone: (920) 458-4419
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SHEBOYGAN WOMEN'S HEALTH, S.C. is an obstetrics gynecology in Sheboygan, WI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SHEBOYGAN WOMEN'S HEALTH, S.C. NPI is 1679655377. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1621 N TAYLOR DR STE 300
SHEBOYGAN, WI
ZIP 53081-992
Phone: (920) 458-4419
Fax: (920) 458-7516

The provider's authorized official is Clifford Glenn Martin .
The authorized official title is President/owner and has the following contact phone number (920) 458-4419.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/22/2020.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology435890WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132882800MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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