Dr LOREN C FUGLESTAD MD is a male medical professional, specializing in Family Medicine. He graduated in 1993 from University Of Wisconsin Medical School.
BELLIN MEMORIAL HOSPITAL INC
2714 RIVERVIEW DR
GREEN BAY
WI
543136715
Tel: 9204304760
| Npi | 1669456463 |
| Pac Id | 9638121627 |
| Professional Enrollment Id | I20050217000882 |
| Last Name | FUGLESTAD |
| First Name | LOREN |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | BELLIN MEMORIAL HOSPITAL INC |
| Group Practice Pac Id | 8820900749 |
| Number Of Group Practice Members | 400 |
| Line 1 Street Address | 2714 RIVERVIEW DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | GREEN BAY |
| State | WI |
| Zip Code | 543136715 |
| Phone Number | 9204304760 |
| Hospital Affiliation Ccn 1 | 520049 |
| Hospital Affiliation Lbn 1 | BELLIN MEMORIAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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