St. Gianna Clinic | |
1727 Shawano Ave Green Bay WI 54303-3268 | |
(920) 498-4200 | |
Not Available |
Full Name | St. Gianna Clinic |
---|---|
Speciality | Family Medicine |
Location | 1727 Shawano Ave, Green Bay, Wisconsin |
Authorized Official Name and Position | Brian Charlier (COO) |
Authorized Official Contact | 9206761148 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. Gianna Clinic Po Box 13508 Green Bay WI 54307-3508 Ph: () - | St. Gianna Clinic 1727 Shawano Ave Green Bay WI 54303-3268 Ph: (920) 498-4200 |
NPI Number | 1598150864 |
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Provider Enumeration Date | 04/02/2015 |
Last Update Date | 12/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598150864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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