ELYSE MARIE ENGEBOSE

BELLIN MEMORIAL HOSPITAL INC

Dr ELYSE MARIE ENGEBOSE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015.

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BELLIN MEMORIAL HOSPITAL INC

140 B SCHOOL CREEK TRL
LUXEMBURG
WI
542171095

Tel: 9208455555

ELYSE MARIE ENGEBOSE Information

Npi 1609252139
Pac Id 4486963758
Professional Enrollment Id I20151028000161
Last Name ENGEBOSE
First Name ELYSE
Middle Name MARIE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
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 140 B SCHOOL CREEK TRL
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LUXEMBURG
State WI
Zip Code 542171095
Phone Number 9208455555
Hospital Affiliation Ccn 1 520049
Hospital Affiliation Lbn 1 BELLIN MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 521358
Hospital Affiliation Lbn 2 MINISTRY DOOR COUNTY MEDICAL CENTER
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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