Healthcare Provider Details

I. General information

NPI: 1194125534
Provider Name (Legal Business Name): NEW WOMENS CARE S C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2014
Last Update Date: 09/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 SOUTH MAIN ST.
OCONTO FALLS WI
54154
US

IV. Provider business mailing address

500 W BAY SHORE ST
MARINETTE WI
54143-4207
US

V. Phone/Fax

Practice location:
  • Phone: 920-846-9995
  • Fax:
Mailing address:
  • Phone: 715-732-4005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number29332-20
License Number StateWI

VIII. Authorized Official

Name: DR. JAMES MICHAEL ARNOLD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 715-723-4005