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GREEN BAY CHEST AND INFECTIOUS DISEASES SC NPI 1538356985


NPI Information

NPI: 1538356985
Provider Name: GREEN BAY CHEST AND INFECTIOUS DISEASES SC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
704 S WEBSTER AVE
SUITE 102
GREEN BAY, WI
ZIP 54301
Phone: (920) 433-7516
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GREEN BAY CHEST AND INFECTIOUS DISEASES SC is a pulmonary disease internal medicine in Green Bay, WI. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. GREEN BAY CHEST AND INFECTIOUS DISEASES SC NPI is 1538356985. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

704 S WEBSTER AVE
SUITE 102
GREEN BAY, WI
ZIP 54301-528
Phone: (920) 433-7516
Fax: (920) 433-7464

The provider's authorized official is Ronald Dale Davis .
The authorized official title is President and has the following contact phone number (920) 433-7516.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 10/12/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary Disease30054WISCONSINYes

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: 4/28/2024

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