BAY AREA NUCLEAR MEDICINE SC NPI 1790860351

NPI Information

NPI: 1790860351
Provider Name: BAY AREA NUCLEAR MEDICINE SC
Classification: Nuclear Medicine - 207UN0902X
Entity Type: Organization

Specialization: Nuclear Imaging & Therapy

Address:
835 S VAN BUREN ST
GREEN BAY, WI
ZIP 54301
Phone: (920) 465-4984
Get Directions

BAY AREA NUCLEAR MEDICINE SC is a nuclear imaging and therapy nuclear medicine in Green Bay, WI. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. BAY AREA NUCLEAR MEDICINE SC NPI is 1790860351. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

835 S VAN BUREN ST
GREEN BAY, WI
ZIP 54301-526
Phone: (920) 465-4984

The provider's authorized official is Robert L Meredith .
The authorized official title is President and has the following contact phone number (920) 991-0862.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207UN0902X	Nuclear Medicine	Nuclear Imaging & Therapy	34542	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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