Dr Andrew John Vanbruggen, DO | |
2654 S Oneida St Stop 102, Green Bay, WI 54304-5337 | |
(888) 938-3838 | |
(888) 919-1083 |
Full Name | Dr Andrew John Vanbruggen |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 2654 S Oneida St Stop 102, 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 |
---|---|---|---|
1003337809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 2017018862 (Missouri) | Secondary |
207Y00000X | Otolaryngology | 69733 (Minnesota) | Secondary |
207Y00000X | Otolaryngology | 77450 (Wisconsin) | Primary |
Entity Name | Ear Institutes Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881168441 PECOS PAC ID: 4880928761 Enrollment ID: O20190626002606 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew John Vanbruggen, DO 10001 W Innovation Dr Ste 200, Milwaukee, WI 53226-4851 Ph: (888) 938-3838 | Dr Andrew John Vanbruggen, DO 2654 S Oneida St Stop 102, Green Bay, WI 54304-5337 Ph: (888) 938-3838 |
Dr. Frederic W Schmidt, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800 Fax: 920-431-7024 | |
Diane M Mayland, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd Ste 220, Green Bay, WI 54311 Phone: 920-288-8230 Fax: 920-288-8235 | |
Justin D Miller, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800 Fax: 920-965-4801 | |
Dr. Alex Barr, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1860 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Dr. Jon Austin Slezak, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8230 | |
Dr. Jennifer B Lynch, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-445-7226 Fax: 920-445-7229 |