HEMOPHILIA OUTREACH OF WISCONSIN INC. NPI 1851390686

NPI Information

HEMOPHILIA OUTREACH OF WISCONSIN, INC. is a hematology internal medicine in Green Bay, WI. The provider is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. HEMOPHILIA OUTREACH OF WISCONSIN, INC. NPI is 1851390686. The provider is registered as an organization entity type.
The provider Is Doing Business As Hemophilia Outreach Center.

The provider's business location address is:

2060 BELLEVUE ST
GREEN BAY, WI
ZIP 54311-622
Phone: (920) 965-0606
Fax: (920) 965-0607

The provider's authorized official is Jamison Buxton .
The authorized official title is Executive Director and has the following contact phone number (920) 965-0606.

The CLIA number assigned to this NPI record is 52D2111433 - other - hemophilia tx center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2005 and was last updated on 2/1/2022.

Taxonomy Codes

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Other Identifiers

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