Daniel Jacob Liechti, MD | |
1970 S Ridge Rd, Green Bay, WI 54304-4125 | |
(920) 430-4888 | |
(920) 430-4889 |
Full Name | Daniel Jacob Liechti |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 1970 S Ridge Rd, Green Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1568817716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207X00000X | Orthopaedic Surgery | 83448-20 (Wisconsin) | Primary |
Entity Name | Black Hills Orthopedic & Spine Center Of Wyoming Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538644679 PECOS PAC ID: 4789929357 Enrollment ID: O20181231001466 |
Mailing Address | Practice Location Address |
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Daniel Jacob Liechti, MD 744 S Webster Ave, Medical Staff Services, Green Bay, WI 54301 Ph: (920) 433-7860 | Daniel Jacob Liechti, MD 1970 S Ridge Rd, Green Bay, WI 54304-4125 Ph: (920) 430-4888 |
William Victor Albiero, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311 Phone: 920-430-8113 | |
William J. Enright, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2223 Lime Kiln Rd, Green Bay, WI 54311 Phone: 920-468-0246 Fax: 920-432-9309 | |
Rolf Smart Lulloff, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1715 Dousman St, Green Bay, WI 54303 Phone: 920-496-4700 Fax: 920-496-4747 | |
Mr. Thomas Andrew Sullivan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311 Phone: 920-430-8120 Fax: 920-430-8122 | |
Dr. Michael K Ryan, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Michael Jameson Florack, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-431-1972 | |
Dr. Steven Harold Goldberg, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1970 S Ridge Rd, Green Bay, WI 54304 Phone: 920-430-4888 Fax: 920-430-4889 |