Provider Demographics
NPI:1942647805
Name:SUPERIOR HEALTH AND MEDICAL CARE
Entity Type:Organization
Organization Name:SUPERIOR HEALTH AND MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:HALLFRISCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:715-732-2300
Mailing Address - Street 1:1915 HALL AVE
Mailing Address - Street 2:
Mailing Address - City:MARINETTE
Mailing Address - State:WI
Mailing Address - Zip Code:54143-1716
Mailing Address - Country:US
Mailing Address - Phone:715-732-2300
Mailing Address - Fax:715-732-9500
Practice Address - Street 1:1915 HALL AVE
Practice Address - Street 2:
Practice Address - City:MARINETTE
Practice Address - State:WI
Practice Address - Zip Code:54143-1716
Practice Address - Country:US
Practice Address - Phone:715-732-2300
Practice Address - Fax:715-732-9500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty