Bob H Greene, MD | |
4303 Michigan Ave, Manitowoc, WI 54220-3066 | |
(920) 320-4300 | |
(920) 684-5146 |
Full Name | Bob H Greene |
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Gender | Male |
Speciality | Pediatrics |
Location | 4303 Michigan Ave, Manitowoc, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497855803 | NPI | - | NPPES |
32563300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 40942 (Wisconsin) | Primary |
Entity Name | Froedtert Manitowoc Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
Mailing Address | Practice Location Address |
---|---|
Bob H Greene, MD Po Box 2290, Manitowoc, WI 54221-2290 Ph: (920) 320-2840 | Bob H Greene, MD 4303 Michigan Ave, Manitowoc, WI 54220-3066 Ph: (920) 320-4300 |
Dr. Surinder K Rajpal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Reed Ave, Manitowoc, WI 54221 Phone: 920-682-8841 Fax: 920-686-5250 | |
Michal Chiu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 Dewey St, Manitowoc, WI 54220 Phone: 920-686-5700 | |
Dr. Andrea Q Taleon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4303 Michigan Ave, Manitowoc, WI 54220 Phone: 920-320-4300 |