208100000X
Green Bay, WI
Specialty
208100000X
Credential
MD
NPI
1821529355
2223 Lime Kiln Rd, Green Bay, WI 54311
(920) 430-4888Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 208100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208100000X