EAST SIDE FAMILY PRACTICE SC NPI 1861527863

NPI Information

EAST SIDE FAMILY PRACTICE SC is a family medicine in Green Bay, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EAST SIDE FAMILY PRACTICE SC NPI is 1861527863. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

424 S MONROE AVE STE 106
GREEN BAY, WI
ZIP 54301-054
Phone: (920) 437-4366
Fax: (920) 437-0954

The provider's authorized official is Joseph Robert Dobson .
The authorized official title is President and has the following contact phone number (920) 437-4366.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 10/25/2010.

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:

Other Identifiers

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