MEDICARE: WOMEN'S HEALTH CARE, OB-GYN, S.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	124939	OTHER	WI	WIS MED SOCIETY

General Provider Information

NPI Number	:	1164431862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S HEALTH CARE, OB-GYN, S.C.

Provider Business Mailing Address
First Line	:	1537 PARK PL STE 200
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54304-1974
Country	:	US
Telephone Number	:	920-498-8650
Fax Number	:	920-498-0945

Provider Business Practice Location Address
First Line	:	1537 PARK PL STE 200
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54304-1974
Country	:	US
Telephone Number	:	920-498-8650
Fax Number	:	920-498-0945

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	SUZANNE K GARRITY
Credential	:
Telephone Number	:	920-498-8650

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1285634899 — ANGELA LAMACK PA
Practice Location Address:

1537 PARK PL STE 200
GREEN BAY, WI
54304-1974

Practice Phone: 920-498-8650
Practice Fax: 920-498-0945

1073522637 — KATHLENE A KUSIV D.O.
Practice Location Address:

1537 PARK PL STE 200
GREEN BAY, WI
54304-1974

Practice Phone: 920-498-8650
Practice Fax: 920-498-0945

1992808166 — BELLIN HEALTH PHYSICAL THERAPY OBGYN
Practice Location Address:

1537 PARK PL STE 200
GREEN BAY, WI
54304-1974

Practice Phone: 920-498-8650
Practice Fax:

1952409732 — ANN T DERGE BSN, RN-C, APNP
Practice Location Address:

1537 PARK PL , STE 200
GREEN BAY, WI
54304-1974

Practice Phone: 920-498-8650
Practice Fax: 920-498-0945

1124276100 — PAULETTE J DOPERALSKI CFA
Practice Location Address:

1537 PARK PL STE 200
GREEN BAY, WI
54304-1974

Practice Phone: 920-498-8650
Practice Fax: 920-498-0945

1790935492 — HEATHER A BORS
Practice Location Address:

1537 PARK PL , SUITE 200
GREEN BAY, WI
54304-1974

Practice Phone: 920-498-8650
Practice Fax:

Directions to “WOMEN'S HEALTH CARE, OB-GYN, S.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.