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ENDOCRINOLOGY ASSOCIATES OF GREEN BAY SC NPI 1871583203


NPI Information

NPI: 1871583203
Provider Name: ENDOCRINOLOGY ASSOCIATES OF GREEN BAY SC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
1901 S WEBSTER AVE
SUITE 8
GREEN BAY, WI
ZIP 54301
Phone: (920) 468-9588
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ENDOCRINOLOGY ASSOCIATES OF GREEN BAY SC is an endocrinology and diabetes and metabolism internal medicine in Green Bay, WI. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ENDOCRINOLOGY ASSOCIATES OF GREEN BAY SC NPI is 1871583203. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1901 S WEBSTER AVE
SUITE 8
GREEN BAY, WI
ZIP 54301-281
Phone: (920) 468-9588
Fax: (920) 468-1342

The provider's authorized official is Gayle Marie Kasdorf .
The authorized official title is President and has the following contact phone number (920) 468-9588.

The enumeration date for this NPI number is 10/26/2005 and was last updated on 7/18/2016.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
132781100MEDICAIDWISCONSIN
2000007560MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN

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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