Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

St Clare Memorial Hospital, Inc

Organization Surgery Physician · NPI 1093173791

St Clare Memorial Hospital, Inc provides Surgery Physician services in Green Bay, Wisconsin. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 S Webster Ave
Green Bay, WI 54301-3508
Phone: (920) 965-7411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1093173791
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Clare Memorial Hospital, Inc
Authorized official Daniel Degroot — Coo · (920) 846-4581
Other names Hshs Sco Regional Surgery Center Green Bay; Hshs Sco Regional Surgery Center Green Bay
NPI enumeratedFebruary 9, 2016
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021
Mailing address853 S Main St, Oconto Falls, WI 54154-1241

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