Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X |
| NPI Number | 1225287691 |
| LBN Legal business name | ST NORBERT COLLEGE |
| Authorized official | DENISE STROOBANTS - (CLINIC PROVIDER CREDENTIALING) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/10/2008 |
| Last updated | 09/10/2008 - About 18 years ago |
| Identifiers | n/a |
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