Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X | |||
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency |
| NPI # | 1194910604 |
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| LBN Legal business name | OZAUKEE COUNTY PUBLIC HEALTH DEPARTMENT | ||||
| Authorized official | KIRSTEN JOHNSON - (DIRECTOR/HEALTH OFFICER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/07/2007 | ||||
| Last updated | 07/24/2012 - About 14 years ago | ||||
| Identifiers |
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