| Endocrinology Associates Of Green Bay Sc | |
|
1901 S Webster Ave Suite 8 Green Bay WI 54301-2281 | |
| (920) 468-9588 | |
| (920) 468-1342 |
| Full Name | Endocrinology Associates Of Green Bay Sc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1901 S Webster Ave, Green Bay, Wisconsin |
| Authorized Official Name and Position | Gayle Marie Kasdorf (PRESIDENT) |
| Authorized Official Contact | 9204689588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology Associates Of Green Bay Sc 1901 S Webster Ave Suite 8 Green Bay WI 54301-2281 Ph: (920) 468-9588 | Endocrinology Associates Of Green Bay Sc 1901 S Webster Ave Suite 8 Green Bay WI 54301-2281 Ph: (920) 468-9588 |
| NPI Number | 1871583203 |
|---|---|
| Provider Enumeration Date | 10/26/2005 |
| Last Update Date | 07/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871583203 | NPI | - | NPPES |
| 32781100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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