CHARLES N DECLEENE PT

BELLIN MEMORIAL HOSPITAL INC

Dr CHARLES N DECLEENE PT is a male medical professional, specializing in Physical Therapy. He graduated in 2004.

Contact

BELLIN MEMORIAL HOSPITAL INC

744 S WEBSTER AVE
GREEN BAY
WI
543013505

Tel: 9204336025

CHARLES N DECLEENE PT Information

Npi 1326002148
Pac Id 2365457538
Professional Enrollment Id I20060208000732
Last Name DECLEENE
First Name CHARLES
Middle Name N
Suffix
Gender M
Credential PT
Medical School Name OTHER
Graduation Year 2004
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BELLIN MEMORIAL HOSPITAL INC
Group Practice Pac Id 8820900749
Number Of Group Practice Members 400
Line 1 Street Address 744 S WEBSTER AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GREEN BAY
State WI
Zip Code 543013505
Phone Number 9204336025
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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