Brian T Perkovich in Green Bay - Retina Specialist
Brian T Perkovich - NPI 1558381632
Brian T Perkovich is a Retina Specialist in Green Bay, Wisconsin. Brian T Perkovich practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Brian T Perkovich is 1558381632. The last update date is 2022-04-07.
Brian T Perkovich's current location address is 164 N Broadway, Green Bay, Wisconsin. You can contact this provider via phone number 9204909046 and fax number 9203277005. The mailing address for Brian T Perkovich is 164 N Broadway, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian T Perkovich |
|---|---|
| Address | 164 N Broadway, Green Bay, Wisconsin |
| Phone Number | 9204909046 |
| Fax Number | 9203277005 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558381632 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2022-04-07 |
Provider Mailing Address Detail
| Address | 164 N Broadway |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543032728 |
| Phone Number | 9204909046 |
| Fax Number | 9203277005 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 30965 |
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Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31603100 | WI | -- |
Post Comment/ Review Below
What is the Brian T Perkovich's unique identification number?
The Brian T Perkovich has been assigned the NPI (National Provider Identifier) Number 1558381632 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Brian T Perkovich's facilities are situated?
The facilities of Brian T Perkovich are physically located at the following address: 164 N Broadway, Green Bay, WI, 543032728.
What is the Brian T Perkovich's area of specialization and corresponding taxonomy classification?
The Brian T Perkovich's specialty field is Retina Specialist, and it falls under the taxonomy code 207Wx0107X, which categorizes healthcare providers based on their specialties.
When did the Brian T Perkovich receive its 1558381632?
The Brian T Perkovich was issued its 1558381632 on 2006-07-20, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Brian T Perkovich most recently updated or revised?
The information pertaining to Brian T Perkovich, including its address, specialty, and other relevant details, was last updated or revised on 2022-04-07.