| Pyramid Psychiatric Care, Llc | |
|
2475 University Ave Ste A Green Bay WI 54302-5099 | |
| (920) 632-2248 | |
| (920) 351-4826 |
| Full Name | Pyramid Psychiatric Care, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2475 University Ave Ste A, Green Bay, Wisconsin |
| Authorized Official Name and Position | Andrew Todd Brocker (FACILITY DIRECTOR) |
| Authorized Official Contact | 9206322248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pyramid Psychiatric Care, Llc 2475 University Ave Ste A Green Bay WI 54302-5099 Ph: (920) 632-2248 | Pyramid Psychiatric Care, Llc 2475 University Ave Ste A Green Bay WI 54302-5099 Ph: (920) 632-2248 |
| NPI Number | 1295226512 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 05/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295226512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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