Edward John Bantamoi in Green Bay - Family Medicine
Edward John Bantamoi - NPI 1457376758
Edward John Bantamoi is a Family Medicine in Green Bay, Wisconsin. Edward John Bantamoi practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Edward John Bantamoi is 1457376758. The last update date is 2017-09-18.
Edward John Bantamoi's current location address is Po Box 19070, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700. The mailing address for Edward John Bantamoi is Po Box 19070, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward John Bantamoi |
|---|---|
| Address | Po Box 19070, Green Bay, Wisconsin |
| Phone Number | 9204964700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457376758 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2017-09-18 |
Provider Mailing Address Detail
| Address | Po Box 19070 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543079070 |
| Phone Number | 9204964700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 48796 |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34814900 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edward John Bantamoi by the Centers for Medicare & Medicaid Services (CMS)?
The Edward John Bantamoi has been assigned the NPI (National Provider Identifier) 1457376758. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Edward John Bantamoi is geographically located?
The Edward John Bantamoi is physically situated at the following location: Po Box 19070, Green Bay, WI, 543079070.
What is Edward John Bantamoi's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edward John Bantamoi is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1457376758 to Edward John Bantamoi?
The Edward John Bantamoi received its 1457376758 assignment from the Centers for Medicare & Medicaid Services on 2006-07-13.
As of what date were the Edward John Bantamoi's details last updated?
The information pertaining to the Edward John Bantamoi, including its address, specialty, and other details, was most recently updated on 2017-09-18.