Healthcare Provider Details

I. General information

NPI: 1568531267
Provider Name (Legal Business Name): COUNTY OF MARINETTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 HALL AVE SUITE C
MARINETTE WI
54143
US

IV. Provider business mailing address

2500 HALL AVE SUITE C
MARINETTE WI
54143
US

V. Phone/Fax

Practice location:
  • Phone: 715-732-7670
  • Fax: 715-732-7646
Mailing address:
  • Phone: 715-732-7670
  • Fax: 715-732-7646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LOUIS WILLIAM TOPEL
Title or Position: HEALTH & HUMAN SERVICES DIRECTOR
Credential: PSYD
Phone: 71454327700